Supporting the grieving child and family

David J. Schonfeld, Thomas Demaria, Sharon Berry, Michael Yogman, Nerissa S. Bauer, Thresia Gambon, Arthur Lavin, Keith Lemmon, Gerri Mattson, Jason Rafferty, Lawrence Wissow, Terry Carmichael, Edward R. Christopherson, Norah Johnson, L. Read Sulik, George Cohen, Stephanie Domain, Steven E. Krug, Sarita Chung, Daniel B. FagbuyiMargaret C. Fisher, Scott M. Needle, John James Alexander, Daniel Dodgen, Eric J. Dziuban, Andrew L. Garrett, Ingrid Hope, Georgina Peacock, Erica Radden, David Alan Siegel, Laura Aird, Sean Diederich, Tamar Magarik Haro, Committee on Psychosocial Aspects of Child and Family Health, Disaster Preparedness Advisory Council

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


The death of someone close to a child often has a profound and lifelong effect on the child and results in a range of both short-and long-term reactions. Pediatricians, within a patient-centered medical home, are in an excellent position to provide anticipatory guidance to caregivers and to offer assistance and support to children and families who are grieving. This clinical report offers practical suggestions on how to talk with grieving children to help them better understand what has happened and its implications and to address any misinformation, misinterpretations, or misconceptions. An understanding of guilt, shame, and other common reactions, as well an appreciation of the role of secondary losses and the unique challenges facing children in communities characterized by chronic trauma and cumulative loss, will help the pediatrician to address factors that may impair grieving and children's adjustment and to identify complicated mourning and situations when professional counseling is indicated. Advice on how to support children's participation in funerals and other memorial services and to anticipate and address grief triggers and anniversary reactions is provided so that pediatricians are in a better position to advise caregivers and to offer consultation to schools, early education and child care facilities, and other child congregate care sites. Pediatricians often enter their profession out of a profound desire to minimize the suffering of children and may find it personally challenging when they find themselves in situations in which they are asked to bear witness to the distress of children who are acutely grieving. The importance of professional preparation and self-care is therefore emphasized, and resources are recommended.

Original languageEnglish (US)
Article numbere20162147
Issue number3
StatePublished - Sep 2016

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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