A person has prolonged or significantly difficult time moving forward after a loss. He/she experiences a chronic and disruptive yearning for the deceased; has trouble accepting the death and trusting others; and/or feels excessively bitter, emotionally dumb, or anxious about the future. Occurs more often when a person had a conflicted relationship with the deceased, prior or multiple losses or stressors, mental health issues, or lack of social support. Loss associated with homicide, suicide, sudden accidents, or the death of a child has the potential to become complicated. Specific types of complicated grief include chronic (long period of time), exaggerated (self-destructive or maladaptive behavior, obsessions, or psychiatric disorders. suicide risk), delayed, and masked grief (behaves in ways that interfere with normal functioning but is unaware that the disruptive behavior). a common and universal reaction characterized by complex emotional, cognitive, social, physical, behavioral, and spiritual responses to loss and death. Some normal feelings of grief are disbelief, yearning, anger, and depression. Although manner of death (violent, unexpected, or traumatic) increases risk to the survivors' normal grief response, it does not always determine how an individual will actually grieve. Helpful coping mechanisms for grieving people include hardiness and resilience, a personal sense of control, and the ability to make sense of and identify positive possibilities after a loss.