Influencing these systems through education, dissemination of information, consultation, and support can significantly expand the help available to siblings and other family members.

A bereaved parent and a psychologist, have jointly written this booklet to try to help with both practical and emotional issues. There will be periods where you are able to carry on with life, while always remembering your child and keeping their memory alive.C., a program developed to provide trauma and bereavement services to families at the time of identification of the body of a loved one who died suddenly from accident, homicide, or suicide [ 94].

Anger and irritability about the injustice and unfairness of losing their child are common grief responses and may be directed toward health care professionals, their spouse, God, or fate. Find a way to hold a commemoration to celebrate and show how significant that person was for all of you. As Rando suggests [ 56] bereaved couples need to be informed that grief is a very individualized process experienced differently by each partner and reassured that relationships can and do survive after a child's death. Siblings themselves describe feeling guilty, anxious, and depressed and parents have noted problems with sleeping, nightmares, anxiety and post-traumatic stress symptoms [ 22, 23, 67, 68].The second track focuses on how people are involved in maintaining and changing their relationships with significant others. It may be directed at the spouse, at other family members, at the professional staff, at God, at fate, or even at the dead child. The Two-Track Model of Bereavement [ 41, 42] combines the perspective of both the symptomatic bio-psychosocial response to bereavement and the relationship with the deceased. Anger may also be directed at the self, creating feelings of self-hatred, shame and worthlessness [ 28, 34- 36].

At the same time, the existence of self-help organizations focusing on child loss, such as Compassionate Friends, provides alternative avenues for bereaved parents to receive support; yet such organizations serve only 25 percent of bereaved parents. If death is sudden, grief is not necessarily greater than it would have been with an anticipated death. Newer intervention models and interventions described below are promising as they are located at times and in places that are more accessible to parents and they focus on the broad range of needs of parents, siblings, and extended family after a child's death. Context is important and includes taking account of the timing and specific circumstances of the death, the ethnicity and culture of the family.Continue to provide the child with loving and consistent care from you, a parent, relative or carer, whom they trust and know well.