Abstract

Take Care of Yourself
Grieving a significant loss is a complex process for adults and children, because grief can affect our emotions, bodies, thoughts, behavior, relationships, and spirituality. Given the demanding nature of grief, parents and caregivers find it challenging to take care of all the needs of a grieving family, including their own needs. While it may feel natural for adults to focus on children, you will be better able to clearly see and respond to your child's needs if you
Help Your Child to Understand
Death is hard to understand. Children will understand death differently as they grow. Your child may not understand what it means to be dead, why people die, the permanence of death, or the reality that everyone will die. Adults sometimes assume that a child who does not understand death is unaware of death. In reality, children often encounter the subject of death and think about death more than adults realize. Even when older children and teens begin naturally to understand these concepts, they need adult input and help to make sense of death in their lives. Ask your child or teen to share with you what they understand about the death. When answering a child's questions, use simple, honest, and concrete language to explain death. Avoid confusing euphemisms, such as “passed away” or “sleeping” to explain death. Several helpful children's books provide examples of such explanations, and reading with your child can help to begin conversations about this topic.
Adults often worry about how much to tell children about a death. Providing children with honest information is important, because lying to a child or excluding them from the truth can isolate and confuse the child, undermining the child's trust in the important adults in their lives. Depending on the circumstances of the death, it may be important to balance honesty with sensitivity to the particular child's ability to understand and cope with the information. If this is of concern for you, seek out the support of a professional with knowledge about children's grief to explore your options.
Allow Your Child To Express Grief
A child's grief expression usually appears different from that of adults. With more limited language skills, a child will be less likely than an adult to
Strategies for Supporting Your Child Now and In the Future
Include your child in the family's activities of mourning and remembrance. When possible, give the child a role and choices for their participation. Prepare children and teens for such activities by explaining ahead of the event what they might see, hear, and experience.
Provide opportunities for children to express themselves through
Set aside time to be with your child when you can give them your full attention, even if this is for a short time each day. When a child is upset, adults sometimes want to help by saying “Everything will be ok” or “Don't cry.” Instead, try sitting quietly with the child, offering physical support, listening, letting the child know that you have heard and understood them, and affirming that their feelings are normal.
Allow your child or teen to ask questions, sometimes repeatedly, in their attempt to make sense of the loss. It is all right if you do not know the answers to all of their questions. Sometimes the most honest and best answer is simply to say that you don't know.
When possible, maintain the child's daily routines, which provide a sense of safety and structure to the day. Children may worry about who will care for them after someone dies. Let the child know how their care needs will be met. Understand that a child may express upset feelings as they attempt to cope with daily life, for example during morning or bedtime routines.
Help your child or teen to maintain the special bond they have with the person who died by keeping the memory alive. Talk about the person and share memories. Use family rituals or customs to memorialize the person. Provide the child with a linking object, such as a memento, photo, or possession of the person who died.
Engage your child's support system, by alerting teachers, counselors, coaches, clergy, or other important adults to your child's special needs. Plan ahead with a child for their return to school by identifying safe people and places for difficult times during the day.
Contact your local palliative care or hospice program for information about child and family grief support resources in your area. School counselors, social workers, pediatricians, psychologists, child life specialists, chaplains, and others can provide support and guidance.
Footnotes
The information and recommendations appearing on this page are appropriate in most instances, but are not a substitute for medical diagnosis. For specific information concerning your personal situation or medical condition, JPM suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. Any other print or online reproduction is subject to approval by the publisher: Mary Ann Liebert, Inc. To purchase bulk reprints, call 914-740-2100.
