Children's understanding of death in relation to child suicidality and homicidality.

This review examines children's understanding of death and how such understanding may be related to the increasing incidence of child suicidality and homicidality. Several factors have been reported to influence children's acquisition of the concepts of death. Those most often reported involved include children's age, cognitive development, and exposure to death; religion and culture appear to play a more minimal role. Most of what we know about how and when children begin to understand death is derived from research with healthy children. Although less robust, the data available from chronically physically ill children and suicidal children indicate some distortions in and less mature concepts of death. These distortions may indeed make death appear more attractive and less permanent to some suicidal children. Despite these provocative findings, no similar investigations have been conducted with homicidal children. Implications of these data for future research and potential intervention are discussed.