Child with two adults either side. The child is resting her head on the lady's head.

Supporting a brother or sister

You may be concerned about the difficult task of discussing and explaining the death of a sibling, especially when you don’t have a reason for how or why it happened.

Explaining the death of a sibling to children can be very daunting for parents who are also dealing with their own grief at the loss of their child. It is common to feel unsure about what to say and how much to tell children and to want to protect them, especially when children are very young and may struggle to understand the concept of death.

We communicate with children about how we are feeling, even when we don’t intend to, by our body language and moods and behaviour. So, it is important for your children to be told about the death of their sibling as soon as possible, ideally by someone they are close to. Children have a greater capacity to understand than adults often expect. They are more disturbed by vague explanations or feeling that information is being withheld.  Individual children have their own personalities and will react differently just as adults do.

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You don't need all the answers

It is best to begin with a simple explanation and then allow children to ask questions when they are ready. Ensure they know they can speak to you when they need to and provide opportunities for this. It is ok not to have all the answers, what is important is to listen to them so that they feel they are supported and included. They may need to repeat the same questions over and over as part of understanding what has happened. It is best to answer in a straightforward way, using simple, age appropriate language.

It is ok to cry in front of your child as this models healthy expression of emotion. Children will not be frightened by your tears if they know why you cry. It gives them permission to do the same.

Some children may cry, others may carry on as if nothing has happened, but all will be affected at some level. If they are given an explanation as to what has happened, they can start to begin to make sense of it. Children, even at a very young age pick up on that something has happened and notice distress. When not given an explanation, they may feel anxious and insecure and alone in their worries.

Things to avoid saying

We have a natural urge to want to protect children from hurtful things and this can lead us to saying things that children may actually find confusing or worrying instead of using the real words.

  • Gone to sleep”– this can give children the fear that they too may not wake up, and they may be afraid to go to sleep, resulting in anxieties at bedtime.
  • “We have lost your sister/ brother”– this can leave a child searching in the hopes of finding them again, like looking for a lost toy or to fear that they too may be lost.
  • “The doctor has taken him/her away”– this can leave children fearful of visiting a doctor again and may cause the child to fear being abandoned.
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Religion

If your family has a religious belief you may have your own way of explaining about what you believe happens after death. You may like to seek guidance from your community religious leader about supporting your children.

Suggesting that a child has ‘gone to heaven’ or ‘to live with God’ may be confusing for a young child, unless your family share a religious faith, which you all find comforting.

A possible explanation of a SIDS death

Keep the explanation a simple as possible and use the real words like ‘dead’ and ‘died’. It is good to agree with other adults in the family beforehand what you will say so that the explanation is consistent.

Young children will need some explanation of what being dead means:

When someone dies their body has stopped working; they don’t breathe and their heart stops beating. We are very sad because we are going to miss him very much.

You can offer reassurance too:

It is very, very unusual for this to happen but sadly it sometimes does.

Some children especially older ones may ask more questions. It is alright to say “I don’t know”, if that is true.

Think about support for yourself when telling your child; either from a family member or friend or from The Lullaby Trust or other helplines.

Lady sitting beside another person in support.

Responses to grief

There is a difference in how adults and children express grief; a child may jump in and out of grief and to an adult they may seem uncaring. For an adult it is more like being deep in a river, swept along with the current, finding it very difficult to get out.

There is some overlap between these stages and variation between children.

If your child’s reactions worry or puzzle you, do consider talking things over with a Helpline Adviser at The Lullaby Trust or having a chat with your GP, health visitor or child’s teacher.

  • They will pick up on mood changes of their caregiver, even if very young.
  • They will often express feeling through their behaviour and may be different in their sleeping and feeding habits and be more ‘clingy’.
  • Older toddlers may be demanding of more attention.
  • Children of this age may behave similarly to the above.
  • They will not understand the permanence of death and may expect their brother or sister to come back.
  • They may have difficulty understanding the concept of not living.
  • They may regress in terms of toilet training, for example bed wetting.
  • They may find separation difficult even when left for short periods, like a parent going out of the room.
  • They may act out elements of the death in their play activities and may invent an imaginary friend with the baby’s name.
  • There will be an emerging sense of the meaning of death and some fear about themselves and people they care about dying and they may fear loss and abandonment.
  • There may still be some confusion around death, for example, is it catching and whether it is permanent.
  • May be fascinated by death, for example, what happens to a body.
  • They may be distressed or sad or show no outward signs.
  • They may blame themselves and if so, may behave badly to get the punishment they might think they deserve.
  • They may regress or may try to be more ‘grown up’.
  • There is more understanding that death is permanent.
  • They may appear outwardly unaffected by the death or show feelings of grief, anger, guilt.
  • Feelings may be ‘acted out’ or take the form of physical symptoms.
  • They may blame themselves or see the death as punishment for something they have done wrong.
  • They may worry about their parents or their own mortality.
  • Friends may be more curious about what has happened.
  • They may become more specific in their questions.
  • This is a time when children are naturally moving away from the family’s influence and becoming independent but a death still makes them more vulnerable.
  • Their feelings will be closer to an adult’s but at the same time, the need to not be different from their peers and to be ‘grown up’ and protect their parents, may lead them to hide their feelings.
  • This can lead to feelings of confusion, loneliness, anger, depression and guilt.
  • Feelings may show up as physical symptoms.
  • They may feel less engaged with school work and show behaviour problems at school.
  • Risk taking and anti-social behaviour can be common.

What can help children

What helps younger children is very much the foundation for older children too. Children learn how to grieve by copying the responses of the adults around them and rely on adults to provide them with what they need to support them in their grief.

Each child will have their own way of working through their grief and should be encouraged to express their individual feelings.

Children, like adults, can suffer a wide range of emotions, including sorrow, anger, disbelief, and even guilt.

  • Maintain routines and familiarity as much as possible.
  • Provide love and reassurance.
  • Consider care giving from another familiar figure if the parents feel too distraught to respond.
  • Let other caregivers; for example nursery, child minders, know so they can be extra understanding of any differences in your child.
  • All of the points in 0-3 years.
  • They may need reassurance that the dead can’t feel anything and don’t feel pain.
  • Answer questions when the child asks avoiding using confusing terms (see things to avoid saying) and using clear terms.
  • Allow expression of feelings through play, reading books, drawing.
  • Tell teachers, family members and friends what explanation your child has been given so they can support you in this and not give your child confusing messages.
  • Accept that they may move on quickly from talking about the death or their sibling and go back to play.
  • The thoughts of children this age are very centred on themselves so they may need reassurance that nothing they did caused the death.
  • All of the points in 0-3 plus notifying Primary School about what has happened.
  • Give extra reassurance about separations, where you will be etc.
  • Listen and help them express thoughts and feelings.
  • Reassure that the death was not their fault.
  • Give them time to ask questions.
  • All the points in 0-3 plus notifying teachers.
  • Encourage the expression of feelings and acknowledge any concerns they have about their own mortality, give reassurance.
  • Give reassurance that the death wasn’t their fault.
  • Give them time and affection.
  • They may need help thinking about how to answer questions from their friends.
  • Model appropriate expression of your own feelings ‘It’s ok, I just feel sad today because I miss your baby brother’.
  • Reassure that it is still okay to have fun and laugh.
  • Maintain usual rules and boundaries.
  • Allow space for them to speak with you when they are ready and listen without judging or criticising.
  • Model appropriate expression of your own feelings and acknowledge that people express their grief in different ways.
  • Reassure and acknowledge that it is normal to question things like the meaning of life as a teenager and that having to confront mortality at a young age is challenging.
  • Let them have time alone and to grieve in their own way.
  • Accept they may find it easier to speak to someone outside the family and help them to identify who that could be.
  • Keep channels of communication open with school so that problems can be picked up quickly.
  • Reassure that it is still okay to have fun and laugh.
Child with two adults either side. The child is resting her head on the lady's head.

Should my child go to the funeral?

It is helpful to explain to a child what a funeral is and why we have them. Rituals are a comforting part of life and can help build memories of the baby who has died and also help children understand the finality of death.

Try to include siblings in the events and ceremonies which follow the death, as excluding them is likely to leave them feeling anxious, bewildered and alone. Allowing them to see their sibling if they wish and say goodbye is usually helpful. If they don’t want to view the body or go to the funeral, they could make a card or drawing to go in the coffin or choose a poem to be read or a song to be played or pick some flowers. They could choose to attend the gathering afterwards instead of attending the funeral.

If they do want to go, it can be helpful to show them in advance where the funeral will take place so they have an idea of what to expect.

It can help to have a backup plan of someone to care for the child if they change their mind about going to the funeral.

Even a baby or very young child can attend a funeral and may appreciate the knowledge they were present when they are older.

Remembering

Having a sense of a continued link with the person who dies is an important part of coping with grief. It is good to give children opportunities to remember their sibling especially on anniversaries and special times. It can be good to make a plan in advance about how special dates will be handled and marked.

  • Share memories of their brother or sister by looking at photographs and remembering events.Lullaby Trust online memorial can be personalised with photos and videos.
  • You might like to put together a memory book or box. Children may like to contribute a drawing or write something to go in the box.
  • They might like to keep something that belonged to the baby like an item of clothing or a toy.
  • Some families like to light a candle on the anniversary of a baby’s birthday or make a cake.
  • Attending Lullaby Trust Family Days can be a way of remembering your child who died and helping children connect with other families and children who have experienced a similar bereavement.
  • Some families like to get involved in charity events as a way of honouring their child who died.

Remember a little one

There are many ways we want to help you remember your baby, whether this is on one of our family days out, or a Lullaby Memorial.

Life as a bereaved sibling

Grief may need to be revisited at different points in your other children’s lives; this is normal. At special family events you may all wonder what it would have been like had your child and their sibling lived and could be there too.

It can help to tell teachers at school, each new school year, about their deceased sibling so when topics such as ‘my family’ are covered so that the teacher knows and acts appropriately.

An adult bereaved as a child may wish their sibling was around as an adult, perhaps to be an aunt or uncle to their children.

Subsequent children born after the child died may have particular needs. They may have a sense of loss even though they didn’t meet their sibling. It can be good to talk about the deceased sibling from the beginning so that they grow up knowing the family story. They may need reassurance that while you miss their sibling you are very glad to have them. They may need some help to not idealise the dead sibling, that their missing sibling would still have been squabbles with them, good times and bad times.

Multiple birth sibling survivors

It is natural for survivors of multiple births whose sibling has died to feel a keen sense of someone missing from their life or to wonder what it would have been like to grow up with a twin or multiple. It is thought to be helpful for them to know from very early on about their circumstances.

Beads of connection

Here’s a creative bead activity to remind you of the people and organisations who are there for you. Grief following the death of a much-loved baby or young child can feel lonely. We want to remind you that you’re not alone.

Watch this video and create a keyring, bag charm, bracelet or bookmark by choosing different coloured/shaped beads as a visual representation of your support network.

Speak with a befriender

It is common for adult siblings to feel a resurgence of their own grief during milestone life events, such as pregnancy or the birth of a child.

More ways to support others

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Grandparents and other family

The death of a child affects everyone in the family. A family bereavement can lead to a very deep sense of loss.

Two people are supporting one another by holding hands. They have dark skin.

How to support a loved one

Bereaved families share examples of something that someone said or did that helped them after their baby died.