Principle of least harm

The principle of least harm says that when every option carries some harm, the one that causes the least should be chosen.

Updated 12 October 2026 (1 minute read)

Summary

  • It applies when no harmless choice exists.
  • It is close to non maleficence, which is the duty to avoid harm in the first place.
  • Breaking confidentiality to protect someone at risk of serious harm is an example. The damage to trust is accepted to prevent something worse.

Interview questions

  • A patient tells you they intend to seriously harm someone. What do you do?
  • Every treatment option for a patient carries a serious risk. How would you help them choose?
  • Is doing nothing ever the least harmful option?

Practise answering these with a mentor

Our interview preparation has you answer questions like these out loud, with feedback on each answer.

More NHS hot topics, medical ethics case studies and medical school interview questions are in AlphaMED Resources, which we add to and update through the application cycle.