Terminal lucidity in children: A contemporary case collection.
Psychology of Consciousness Theory Research and Practice February 26, 2026 Natasha Tassell-Matamua, Karalee Kothe, Michael Nahm et al.
Terminal lucidity—unexpected mental clarity shortly before death—has been reported across cultures and eras, but its characteristics in children had not been systematically studied. Using a 42-item online survey, this study collected case reports of terminal lucidity in 11 children aged 16 years and under. Terminal lucidity typically occurred within the final hours to minutes before death and manifested as notable changes in mental abilities, behavior, and emotions. It was not preceded by any changes in medical regime and often happened despite children being semi- or comatose just before the episode. These results suggest a surge of mental clarity in terminally ill children occurs contrary to medical expectations, which may inform end-of-life care and understanding of consciousness at the end of life.