Children's disturbed reactions to the death of a sibling are reported. A wide range of enduring symptoms and distortions of character structure stemming from sibling death reactions are reviewed and determinants of the nature of sibling death reactions are noted.

The frequent involvement of suicide's children in the emotional context leading to and surrounding their parent's suicide, and the profound psychological impact of parent suicide upon a child is reported in this clinical study. The role of guilt and distortions of communication consequent to the suicide are found among the particularly crucial dimensions of the pathogenic effects of parent suicide.

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