Depression Childhood Depression When Children Experience Depression After Death of a Parent Distinguish sadness from depression with these tips By Lauren DiMaria Lauren DiMaria LinkedIn Lauren DiMaria is a member of the Society of Clinical Research Associates and childhood psychology expert. Learn about our editorial process Updated on May 01, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Carly Snyder, MD Medically reviewed by Carly Snyder, MD Facebook LinkedIn Twitter Carly Snyder, MD is a reproductive and perinatal psychiatrist who combines traditional psychiatry with integrative medicine-based treatments. Learn about our Medical Review Board Print mrs / Getty Images While there is no way to predict how your child will react to the death of a parent, or how this loss will affect them, some circumstances may increase the likelihood that a child will experience depression after a parent dies. Surviving parents and family members can take steps to ensure that a child receives the support or treatment they need to heal. Helping Yourself Helps Your Child The way that you and other caregivers react to death will affect how your child reacts. As a parent or caregiver, you will need to address your own grief through outside support or counseling for the benefit of the whole family. Getting the support you need will show your child that healing is important. Parents and caregivers who express and discuss their feelings are likely to have children who do the same, whereas families who hide their emotions may teach a child to be ashamed of their feelings. Keeping feelings inside is a common behavior among people with depression. Tell Important People in Your Child's Life Collaborative healing efforts will provide your child with the extra support and love they need during this difficult time. A child's pediatrician, teachers, and friends' parents need to know about the parent's death. Reaching out to those who have daily contact with your child will increase the available support. Make an appointment with a pediatrician to discuss how your child is coping. Supporting Your Child Grief is a normal process and typically does not require medication. However, you may initially need to spend more time with your child and assure them that you will not leave. Talking with your child on an age-appropriate level and encouraging questions provides a supportive environment. Here are some more suggestions for supporting your preschool and school-age children through the grieving process: Answer any questions they have honestly, but try to keep your answers simple and brief. It's also OK to say that you don't know or that you don't have the answer right now. Avoid using euphemisms for death, such as "resting" or "sleeping forever," as this can be confusing for a child. Instead, explain that when someone dies, their body stops working. They can no longer breathe, talk, move, eat, etc. Reinforce the fact that death is part of life—not a form of punishment. Share any religious or spiritual believes your family has about death and dying. Make sure the child understands that it is not their fault and they are not to blame. Help them understand that their parent is not going to “come back,” even if they are "good." Be careful about associating death with sickness as this can cause them to become fearful about their own illnesses. Use books and online resources to help them understand death. Encourage them to express their emotions and feelings by writing or drawing a picture. Explain what to expect at the memorial services and allow your child to decide if they want to attend. If your child decides to attend, ask a trusted friend or family member to be available in case they can't handle it and want to leave early. Allow older children and teens to play a role in planning the memorial if they want; this can include gathering pictures to display or picking a favorite poem or reading for the memorial service. Encourage your child to spend time with friends and participate in hobbies and social activities; remind them that having fun is OK and it doesn't mean you don't miss or love your deceased parent. Let them know that it will take time to feel better and that it's normal to experience a range of emotions, including sadness, anger, guilt, shame, and anxiety. Teens, in particular, may deal with sadness with displays of anger or risky behavior (such as unprotected sex or substance use). Remind children how much the deceased parent loved them and do your best to talk about them, show them pictures, and share memories. The 7 Best Online Therapy Programs for Kids Factors That May Contribute to Depression While a loss of a parent or caregiver is traumatic for any child, the likelihood of this turning into depression depends on four factors, according to a report in the Journal of American Psychiatry. Researchers found that children whose parents died by suicide or an accident were at higher risk for depression than children whose parents died after developing a sudden and natural illness. Additionally, they found that children in the following situations were more likely to experience depression within two years of the loss when compared to their peers: Past mental health illness, like depressionFeelings of accountability for the parent's deathLost a mother While these findings suggest that certain circumstances surrounding a parent's death may increase the likelihood of depression in some children, it is important to understand that not all children in these circumstances will become depressed as a result. When It's More Than Sadness It is normal for a child to feel sad or scared when a parent dies. But if their sadness or fear continues for an extended period of time, worsens or significantly interferes with their normal functioning, it's important to consult your child's physician for evaluation. Seek immediate attention if your child has thoughts of suicide or self-harm. Early identification and treatment of depression in children are important, as there is potential for short- and long-term consequences such as low self-esteem, substance use, and suicidal thoughts and behavior. A child who is experiencing extreme grief that continues for a year or more may have a condition called prolonged grief disorder (PGD). People with PGD experience a strong yearning for their lost loved one and significant emotional pain that is disruptive to their everyday lives. For children and adolescents, their thoughts may constantly be on memories of their parent and particularly on the circumstances surrounding their parent's death. If the child in your life is experiencing prolonged grief, talk to a pediatrician. They will be able to recommend a cognitive behavioral therapy (CBT) program specifically for kids or teens. Research shows that CBT contributed to significant reductions in the symptoms of PGD in children and adolescents with the condition. If you or your child are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our National Helpline Database. Grief vs. Depression: Which Is It? Recognizing Depression Children who are depressed may feel hopeless, guilty, angry, or misunderstood. Here are a few more signs to watch for: Changes in sleeping habits and appetiteWithdrawal from family, friends, and hobbies that they used to enjoyA significant drop in school performanceAvoidance of school or social activitiesVague, unexplained physical complaints, like a headache or bellyacheDifficulty concentrating and making decisions You cannot prevent your child's loss, but you can support them through this difficult time by allowing them to grieve and by creating a safe and loving environment. Part of that support is recognizing when your child has become depressed and seeking treatment to help them heal. What to Know About Childhood Depression 3 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Brent D, Melhem N, Donohoe MB, Walker M. The incidence and course of depression in bereaved youth 21 months after the loss of a parent to suicide, accident, or sudden natural death. Am J Psychiatry. 2009;166(7):786-94. doi:10.1176/appi.ajp.2009.08081244 American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders. 5th ed, text revision. Washington, D.C.; 2022. Boelen PA, Lenferink LIM, Spuij M. CBT for Prolonged grief in children and adolescents: A randomized clinical trial. Am J Psychiatry. 2021;178(4):294-304. doi:10.1176/appi.ajp.2020.20050548 Additional Reading American Academy of Pediatrics. A child's reaction to death. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition: DSM-5. Arlington, VA: American Psychiatric Publishing, 2013. doi:10.1176/appi.books.9780890425596 American Society of Clinical Oncology. Helping grieving children and teenagers. National Institute of Mental Health. How do children and adolescents experience depression? By Lauren DiMaria Lauren DiMaria is a member of the Society of Clinical Research Associates and childhood psychology expert. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Depression Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.