Not a problem.
In Quebec, a person may make decisions regarding certain kinds of care at age 14. Once the age for decision-making capacity has been established and the decision is made to proceed by stages, should the first stage not simply consist in expanding access to medical assistance in dying for patients on track 1, that is, those whose death is imminent?
In terms of pediatric psychology or psychiatry, the report of the expert panel on medical assistance in dying and mental illness shows that the chronicity of the health problem had to be determined. Logically, in the case of mature minors, that would mean excluding suicidal adolescents. For other degenerative pathologies, all treatments and means of relieving the patient's pain would have to have been exhausted. That cannot be done quickly after a diagnosis.
If access to medical assistance in dying were expanded by stages and decision-making capacity were set at between 14 and 17 years, while allowing it strictly for patients whose death is imminent, would that remove your reservation and enable us to move forward?