Skip to content
My WebMD Sign In, Sign Up

Children's Health

Font Size

Most Kids Adjust to Sudden Death of a Parent

But Study Shows 10% of Children Who Lose a Parent Are at Risk for Depression
WebMD Health News
Reviewed by Laura J. Martin, MD

Distressed teen girl

Sept. 6, 2011 -- Losing a parent can be difficult at any age. Researchers in a new study in the Archives of General Psychiatry seek to better understand how loss, including the sudden death of a parent, affects children and teens.

More than half of children and teens will adjust to the sudden loss of a parent within one year. But others have difficulty coming to terms with this loss and may face a higher risk of depression that interferes with their lives, the study shows.

"People used to think that all children and adolescents are resilient and don't show grief or have it," says study researcher Nadine M. Melhem, PhD, of the Western Psychiatric Institute and Clinic at University of Pittsburgh School of Medicine.

The study shows that this is not always the case.

Risk for Depression

The study included 182 children and teens aged 7 to 18 who experienced the sudden loss of a parent from suicide, accidental injury, or sudden, natural causes. The researchers studied how the children and the surviving parent were coping with the loss around 8.5 months after the death and then again one and two years after the death.

For most of the children and teens (58.8%), their grief lessened over nine to 21 months, and then remained low.

But some children experienced prolonged grief after losing a parent. For 30.8% of the children, their grief rose at about nine months, then gradually declined over two years.

For about 10% of the children, the grief was still with them after two years and they were more likely to be depressed.

Risks for such prolonged grief included a personal or family history of depression or other mood disorders. Children were also at greater risk if their surviving parent was having difficulty coping with the death.

Knowing who is at high risk may improve prevention and treatment efforts, Melhem says. "There are treatments for grief in adults that have been shown to be more effective than others, and the same may be true for children."

The loss of a parent affects the whole family. It may be that family therapy is more appropriate than one-on-one counseling, she says.

Preventing Prolonged Grief in Children

Amanda L. Thompson, PhD, a child psychologist at the Children's National Medical Center in Washington, D.C., has worked with many children who have lost parents. "Not all children and adolescents experience grief in same way," she says.

Understanding why certain children may be at more risk for prolonged grief or depression after losing a parent is important, Thompson says. But it is equally important to look at why some children are more resilient in the face of such profound loss.

A strong social support system including other family members, friends, and members of community or religious groups may help protect children from debilitating grief and depression, she says. "This is particularly important considering that the surviving parent is also in distress," Thompson says. "Sometimes parents aren't in a place where they can provide the type of support that children need after a loss."

Today on WebMD

preschool age girl sitting at desk
look at my hand
woman with cleaning products
young boy with fever

worried kid
boy on father's shoulder
Child with red rash on cheeks
girl thinking

Child with adhd
rl with friends
Syringes and graph illustration
6-Week Challenges
Want to know more?
Build a Fitter Family Challenge – Get your crew motivated to move.
Feed Your Family Better Challenge - Tips and tricks to healthy up your diet.
Sleep Better Challenge - Snooze clues for the whole family.
I have read and agreed to WebMD's Privacy Policy.
Enter cell phone number
- -
Entering your cell phone number and pressing submit indicates you agree to receive text messages from WebMD related to this challenge. WebMD is utilizing a 3rd party vendor, CellTrust, to provide the messages. You can opt out at any time.
Standard text rates apply

WebMD Special Sections