Evidence map›Paper›PMID 41726380›Full record

ArticlePalliative care and social practice2026

Non-verbal methods for assessing grief and mental health in children and individuals with additional communication needs: A scoping review.

Noreen Hopewell-Kelly, Silvia Goss, Mala Mann, Linda Machin, Timothy Pickles, Freya Field, Letizia Perna, Lucy Selman, Emily Harrop

Abstract read
In one paragraph

Article in Palliative care and social practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. A Comprehensive Toolkit to Support Self-Report Questionnaires for Autistic Adults With Cognitive Disability.Journal of applied research in intellectual disabilities : JARID · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Noreen Hopewell-KellyMarie Curie Research Centre, School of Medicine, Cardiff University, UK.ORCID https://orcid.org/0000-0002-0699-0178
Silvia GossMarie Curie Research Centre, School of Medicine, Cardiff University, UK.ORCID https://orcid.org/0000-0002-9728-5756
Mala MannMarie Curie Research Centre, School of Medicine, Cardiff University, UK.
Linda MachinSchool of Medicine, Keele University Faculty of Medicine and Health Sciences, UK.
Timothy PicklesCentre for Trials Research, Cardiff University College of Biomedical and Life Sciences, UK.ORCID https://orcid.org/0000-0001-7743-0234
Freya FieldMarie Curie Research Centre, School of Medicine, Cardiff University, UK.
Letizia PernaWinston's Wish, Gloucester, UK.
Lucy SelmanPalliative and End of Life Care Research Group, Population Health Sciences, University of Bristol, UK.ORCID https://orcid.org/0000-0001-5747-2699
Emily HarropMarie Curie Research Centre, School of Medicine, Cardiff University, UK.ORCID https://orcid.org/0000-0003-2820-0023

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Bereavement affects individuals in diverse ways, and the support they require can vary significantly. For grief to be effectively recognised and addressed in both clinical and research settings, appropriate and validated assessment tools are essential. However, there is a notable gap in child-specific tools, particularly those that use non-verbal approaches to support young children and individuals with Special Educational Needs (SEN), who may have limited verbal communication. Aims: This scoping review aims to explore and map existing evidence on grief and mental health assessment tools that incorporate non-verbal methods. The focus is on tools used with children aged 11 and under, and with older children or adults who have additional learning or communication needs, in therapeutic and research contexts. Methods: We conducted a scoping review using Arksey and O'Malley's five-stage framework. Searches were carried out across five databases - CINAHL, Medline, PsycINFO, Cochrane Library and Scopus - from their inception to 7 December 2023. Data from eligible studies were analysed using descriptive statistics and content analysis. Findings: From 1498 screened papers, 22 articles were included. Most described mental health tools rather than grief-specific assessments. Five key themes emerged: tool development processes; language and item selection; use of visual imagery; response format design and psychometric properties, including feasibility and utility. These features illustrate how non-verbal methods can support communication and engagement in assessment. Conclusion: This review highlights current approaches to assessing grief and mental health in children and individuals with SEN using combinations of verbal and non-verbal methods. It provides a foundation for future development of accessible, structured grief assessment tools tailored to these populations and underscores the urgent need for such resources in practice.

Indexed as

assessmentbereavementchildrengriefmental healthnon verbal communicationscoping reviewspecial educational needsyoung people

Identifiers

PMID41726380
PMCPMC12923933

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.