Notice
Road and parking lot construction in Madison, Wis. may result in travel delays and route changes to UW Health clinic and hospital locations. Please plan accordingly.Read more
Road and parking lot construction in Madison, Wis. may result in travel delays and route changes to UW Health clinic and hospital locations. Please plan accordingly.Read more
Children understand death based on their age, development, and past dealings with death. Children also learn about death by watching how friends and family cope with it. Be honest with your child and talk to them early to help them begin to understand and cope with death.
This handout will tell you how children understand and cope with death based on age.
Understanding of Death
Aware of changes going on around them
Affected by physical and emotional changes in caregivers
Common Behaviors
Irritable and clingy
Trouble sleeping
How to Help
Create a calm environment.
Choose a small group of caregivers.
Keep the same eating and sleeping routines.
Understanding of Death
Death is temporary and can be reversed
Based on family’s actions and emotions
Not likely to think about what death means for the future
Common Behaviors
Clingy
Bedwetting
Playful
Cheerful
Play pretend death
What to Say
Avoid words and phrases such as “sleeping” or “passed away.”
Use the words death, dying, and dead: Example: “Your Mom’s heart was not working, and she died.”
Use child’s interests to help you explain: Example: “Your Dad can’t eat like you can; he can’t breathe air to play at the park like you can.”
Give simple and honest answers to questions.
Child may ask the same questions, answer the same way every time.
How to Help
Let child play at home, school, and daycare.
Talk about child’s feelings: Example: “It is ok to be sad or cry.”
Express some of your feelings in front of your child. Example: “I am sad, too.”
Allow safe expression of feelings through art and play.
Keep your child’s routines, like going to school or daycare.
Understanding of Death
Begin to understand that death is final and cannot be reversed
Younger children may think of death as something that happens to others
Older children may worry death will happen to them
Older children may worry about other family and friends dying
Common Behaviors
May have many questions about details of death and dying
May think something they said or did caused death
Nightmares
May act tough, naughty, funny, or sad at home or school
What to Say
Find out what child already knows. Example: “Why is Dad in the hospital?”
Be honest when you answer your child’s questions.
Ask about thoughts.
Example: What do you think about that?” Ask about feelings. Example: “How are you feeling about what you’ve heard about your Dad?”
Common Behaviors
Child may deny that death will happen.
Child may feel or say, “Death will not ever happen to me.”
Child may not show emotions.
Child may reach out to friends for support instead of family.
Child may want to spend less time with family.
How to Help
Give honest answers to questions.
Correct confusion child may have about death.
Expect child to be moody or sad at times.
Keep child involved in interests to help express feelings (ex. school, sports, art).
Ask if child would like to visit loved one in the hospital.
Ask if child would like to help create family memorials.
Understanding of Death
Death is final and can happen to anybody
Past experience with death may affect coping with current and future deaths
Thinks about the future without the deceased family member
Question learned afterlife beliefs (ex. Heaven)
Common Behaviors
Child may deny that death will happen.
Child may feel or say, “Death will not ever happen to me.”
Child may not show emotions.
Child may reach out to friends for support instead of family.
Child may want to spend less time with family.
What to Say
Ask, “What would you like to know?”
Give honest answers to questions.
Be ready to talk or listen.
How to Help
Ask if child would like to be a part of end of life process of loved one.
Ask child to help create family memorials and rituals.
Support child to get support from friends and school.
Explain importance of caring for self during the death of a loved one.
Respect if child needs a break from talking about death or their environment.