What to do if…
you need to tell a child that a relative is dying soon and you have little time to prepare
Short answer
Tell the child today in clear, simple words (“is dying” / “will die”), then stay close and build a basic plan for the next 24 hours so they know who will care for them and what happens next.
Do not do these things
- Do not use vague phrases like “going to sleep” or “lost” — kids may take them literally.
- Do not give exact timing you can’t guarantee (and don’t promise recovery to soften the blow).
- Do not flood them with medical details or adult decision-making about treatment.
- Do not tell them and immediately send them away (to school, to bed, to another house) unless you truly have no choice.
- Do not pressure them to visit, touch, pray, talk, or “say goodbye” on command.
- Do not ask them to manage adult emotions (“don’t make grandma sad”).
What to do now
-
Pick the right moment and one main speaker.
Choose a quiet place, sit at the child’s level, and have one trusted adult do most of the talking. If you’re very upset, have a second calm adult present for steadiness — but keep it small. -
Find out what they already understand.
Ask: “What have you noticed about [Name] lately?” or “What do you think is happening?” This helps you correct scary misunderstandings fast. -
Say the truth in one sentence, then pause.
Examples:- “The doctors say [Name] is very sick, and they are dying.”
- “Their body is stopping working, and they will die soon.”
Then stop talking for a moment. Let the child respond before you add more.
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Name the urgent fears kids often have (even if they don’t ask).
Say plainly:- “This is not because of anything you did, said, or thought.”
- “You can’t catch this illness like a cold.”
- “You will be taken care of — here’s who is with you today and tonight.”
-
Give a simple explanation of what “die” means if needed.
If asked, keep it concrete: “When someone dies, their body stops working. They’re no longer alive, and they cannot feel things the way living people do.” -
Offer an optional way to connect or say goodbye that fits the time you have.
Give choices:- Visit for a short time (and describe what they might see: sleepiness, weakness, medical equipment).
- Video/phone call.
- A drawing, letter, photo, or voice message.
Make it clear they can change their mind and they can leave at any time.
-
Make a “next 24 hours” plan the child can repeat back.
Use specifics: where they’ll be, who’s picking them up, who’s making dinner, who they can go to if they feel overwhelmed. Predictability helps a lot. -
Loop in the child’s school today.
Email/call the teacher, school counselor, or main office and ask for one point person, so your child doesn’t have to explain it repeatedly and staff can watch for sudden distress. -
Use the support already around the dying relative.
If your relative is in hospice care or a hospital, ask for the social worker or spiritual care/chaplain. If the hospital has a child life specialist, they can also help you plan what to say and prepare a child for a visit. If your hospital doesn’t have child life, ask who supports families with kids (social work, palliative care, or a family support service). -
If you’re stuck or overwhelmed, use a child grief resource for quick language help.
A pediatric-focused resource (like HealthyChildren.org) or a children’s grief center network can give you age-appropriate phrasing and “what to say when they ask ___” answers quickly.
What can wait
- You don’t have to decide now about memorial/funeral attendance, keepsakes, or “how to grieve.”
- You don’t need to explain every medical detail, prognosis nuance, or family conflict.
- You don’t need to answer every question immediately; “I don’t know yet, but I will tell you when I do” is enough.
- You don’t need to deliver this perfectly in one conversation — kids usually ask the same questions repeatedly as they process.
Important reassurance
Kids often take in big news in bursts. They may cry, go quiet, ask practical questions, or return to play quickly. That can be a normal way of coping, not a sign they didn’t understand or don’t care. Being clear, honest, and available matters more than finding perfect words.
Scope note
These are first steps for the first conversation and the next day or two. After that, most families do best with repeated short check-ins, stable routines, and extra support from school and/or a children’s grief service if needed.
Important note
This is general information, not medical, mental health, or legal advice. If you think the child may be at immediate risk of harm, call 911. If you need urgent mental health support, you can call or text 988 in the U.S.
Additional Resources
- https://www.healthychildren.org/English/healthy-living/emotional-wellness/Building-Resilience/Pages/How-Children-Understand-Death-What-You-Should-Say.aspx
- https://kidshealth.org/en/parents/death.html
- https://www.chop.edu/news/health-tip/what-parents-need-know-about-explaining-death-and-grief-child
- https://988lifeline.org/
- https://www.dougy.org/
- https://nacg.org/
- https://my.clevelandclinic.org/health/articles/22651-child-life-specialist