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Most definitely needed.
If only for you, children (and a lot of legally 'adults' too...) to know that what you're going to play contains materials that needs to be consider with cautious.
You never know you have crossed the line unless someone told you, or you hit the wall.

A reminder too : the rating does not define the content of the game but is rather a condition on its audience. A Mature rated game does not equal a mature game (far from it actually).
Maybe they should use a numerical rating (7+, 10+, 18+). That would cut a lot of those 'Mature' nonsense.