Supporting children and adolescents following parental bereavement: guidance for health-care professionals
Abstract
Death of a parent in childhood and adolescence is a distressing life event. Childhood grief reactions are distinct from those in adults, and are affected by developmental and contextual factors such as age of the child and changes in caregiving environments. Following parental bereavement, children and adolescents face unique emotional and behavioural challenges, and are susceptible to several adverse biopsychosocial outcomes. Empirically supported interventions can help young people to navigate the many grief-related challenges, and the core treatment components include grief psychoeducation, building emotion identification and regulation skills, cognitive coping and restructuring, grief and trauma processing, memorialising and continuing bonds, meaning making, involvement of caregivers in grief treatment, and future planning. Health-care professionals often interact with children and adolescents following bereavement; therefore, it is important they have the foundational knowledge and skills to communicate effectively about the death, recognise and normalise different ways grief can manifest across development, and support surviving caregivers in facilitating adaptive grief in their children.
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Psychosocial threats for children and adolescents bereft of parents or caregivers include increased risk of post-traumatic stress disorder, depression, and suicidal attempts.
“Psychosocial threats for children and adolescents bereft of parents or caregivers include increased risk of post-traumatic stress disorder, depression, and suicidal attempts.30”
From Global minimum estimates of children affected by COVID-19-associated orphanhood and deaths of caregivers: a modelling study (2021) · cites this paper as [30]
Orphaned children cared for by custodial grandparents after losing their parents might face secondary trauma after losing that caregiver from COVID-19.
“Orphaned children cared for by custodial grandparents after losing their parents might face secondary trauma after losing that caregiver from COVID-19.30”
From Global minimum estimates of children affected by COVID-19-associated orphanhood and deaths of caregivers: a modelling study (2021) · cites this paper as [30]
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- Authors
- Kentor, R. A., & Kaplow, J. B.
- Affiliations
- Baylor College of Medicine (US)
- Corresponding author
- Kentor, Rachel A
- Venue
- The Lancet Child & Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2020-12
- Volume
- 4
- Issue
- 12
- Pages
- 889-898
- ISSN
- 2352-4642 (ISSN-L)
- OpenAlex
- W3098901540
- Cited by
- 72
- References
- 75
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 12 · 2023: 12 · 2022: 11 · 2021: 7
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet Child & Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- parental bereavement, grief in children, adolescent grief, emotion regulation, cognitive coping, commemoration, meaning-making, caregiver involvement, future planning, biopsychosocial outcomes
- MeSH terms
- Adaptation, Psychological, Adolescent, Child, Grief, Humans, Psychotherapy, Group, Social Support, Cognitive Behavioral Therapy, Caregivers, Parental Death
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