This chapter focuses on the psychosocial impact of a family suicide on children and adolescents, and discusses intervention strategies at the individual, family, and community level. Bereavement early in life increases children's susceptibility to depression, anxiety, and social adjustment problems such as school dysfunction and delinquency. Like bereaved spouses, parents of adolescent suicides were at higher risk for depression than controls, and, at follow-up three years later, mothers of suicide victims were still at an increased risk for recurrent depression. Bereavement is generally associated with increased likelihood of mood disorders in children and adolescents but distinguishing between the symptoms of bereavement and major depressive disorder is often difficult. A significant number of children today have experienced a suicidal death of a relative. The reactions and responses to a suicidal death are complex and include an increased risk of depression and posttraumatic stress disorder (PTSD).