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Table 9-3

Children’s Understanding of Death

AgeUnderstanding of DeathCommon Behaviors in Response to Death
Infant to toddler
  • Unable to comprehend death
  • Fears separation and abandonment
  • Frightened, difficulty separating
3–5 years
  • Views illness as punishment for real or imagined wrongdoings
  • May view death as sleep; cannot comprehend death
  • Magical thinking; may think they caused the event by their thoughts or actions
  • Sadness
  • Clinging to parent
  • Nightmares, sleep disruption
  • Regression in toilet habits
  • Complaints of stomachache and headaches
  • Temper tantrums
School age
  • Associates death with punishment multilation, violence
  • May feel responsible for event
  • By age 9, understands that death is final
  • School phobia, diminished school performance
  • Aggressive behavior
  • Preoccupation with parent’s health
  • Loss of appetite
  • Change in relationship with friends
Adolescence
  • Understands own mortality
  • May seem to have adult view of death but not emotional view
  • Acting out; substance abuse
  • Increased time with peers
  • Withdrawal from family
  • Depression