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GOD PLAYS DICE™The magazine of big questions

THE QUESTION LIBRARY MIND & MORTALITY

Is it possible to make peace with the idea of dying?

Many people do find some peace with dying, and research, philosophy, faith and end-of-life care each point to a different road there.

A painting of a woman in a long dark dress, seen from behind, standing on a path in a grassy field with her arms held slightly open toward a golden sky, the sun low behind distant hills.
Caspar David Friedrich painted this woman facing a low sun in 1818. It is catalogued under two titles, Woman before the Setting Sun and Woman before the Rising Sun.Caspar David Friedrich, Museum Folkwang, Essen; reproduction from The Yorck Project, via Wikimedia Commons · Public domainImage source ↗

THE SHORT ANSWER

Yes, many people do, though nobody can promise it, and it looks different for each person. Studies suggest fear of death is often strongest in young adulthood and eases with age. One study found that people near death wrote more positively than others imagined. Philosophy, faith and good end-of-life care each offer paths. Which path fits you, and what peace means for you, is a personal question beyond science.

  • In two studies of adults aged 18 to 87, fear of death peaked in people’s 20s and then went down.
  • Blog posts by people dying of a terminal illness were more positive than posts by people who only imagined it.
  • Since Epicurus, some thinkers have argued that death is nothing to fear, and others have argued back.
  • Several faith traditions ask people to reflect on death as a path to wisdom and a good life.
  • Hospice and palliative care teams treat fear and spiritual concerns as part of care, not only bodily symptoms.

WHERE THE EVIDENCE STANDS

How sure are we?

  • Supported, still debatedFear of death tends to peak in early adulthood and ease with age.Two studies of adults aged 18 to 87 (Russac and colleagues, 2007) found a peak in the 20s; they compared age groups once rather than following the same people.
  • Supported, still debatedPeople facing death often express more positive feelings than others imagine they would.A 2017 study (Goranson and colleagues) compared real blog posts near death with imagined ones; it measured feeling in words, not inner peace.
  • Supported, still debatedReminders of death push people to defend their beliefs and self-worth.A 2010 review pooled 277 experiments, but a 2022 effort across 17 labs with 1,550 people could not repeat a classic result.
  • EstablishedPalliative care can improve quality of life for people with serious illness.A 2016 review of 43 randomized trials with 12,731 patients linked it to better quality of life, a link that held, though smaller, in the best-run trials; the World Health Organization states it too.
  • Beyond scienceDeath is nothing to fear.Epicurus and Lucretius argued this; other philosophers disagree, faiths answer in different ways, and no experiment can settle it.
What the labels mean

WHAT WE DON’T KNOW YET

Nobody knows yet exactly why some people find calm and others do not, or which kinds of help work best for whom. Trials of therapy for death anxiety are few and often weak, and more research is needed outside Western countries.

WHAT WOULD CHANGE THIS ANSWER

Large studies that follow the same people for many years could show whether fear of death truly fades with age. Stronger trials of therapy and end-of-life care could show what helps most, and for whom.

Almost everyone meets this question sooner or later. For some, it shows up at three in the morning. For others, it comes with a hard diagnosis, the loss of a parent, or a birthday that ends in zero. It can feel strange even to ask it out loud.

The honest answer is that many people do make some kind of peace with dying. It looks different for each person, and it can come and go. Nobody can promise it, and there is no one right way to get there.

Research offers a few clues. In two studies of adults aged 18 to 87, fear of death was highest in people’s 20s and then fell with age. In another study, blog posts by people who were dying of a terminal illness sounded more positive than posts written by people asked to imagine facing death. The real posts also grew more positive as death came closer. These are small studies. Still, they hint that the fear we imagine from far away can be heavier than what many people report up close.

People also find peace in very different places. Some lean on faith and the hope of life beyond death. Some find calm in old arguments, like the Greek thinker Epicurus, who said death is “nothing to us,” because where death is, we are not. Others find it in love, in work they are proud of, or in being honest about their fear. Hospice and palliative care teams, who care for people with serious illness, treat fear and spiritual concerns as part of the job.

This page won’t tell you which path is right. It lays out what research can say, what philosophers and traditions offer, and where science has nothing to add. If you are facing this now, for yourself or for someone you love, go gently. Take what helps and leave the rest.

THE LONG ANSWER

What does research say about the fear of death?

Psychologists call it death anxiety: worry or dread about dying or being dead. Some of it is common. For some people it grows heavy enough to shape daily life, and researchers have proposed that it may underlie a number of mental health conditions (Menzies and colleagues, 2018).

In two studies published in 2007, adults aged 18 to 87 filled out fear-of-death questionnaires. Fear peaked in the 20s and dropped after that, though women showed a second rise in their 50s. The studies compared people of different ages at one time, so they can’t show that any one person’s fear will fade.

A well-known idea, terror management theory, says people cope with knowing they will die by holding tight to their worldview and self-worth. A 2010 review of 277 experiments found that reminders of death had a moderate effect on how strongly people defended those beliefs. But when 17 labs tried to repeat a classic version with 1,550 people, they could not reproduce it. The theory remains debated.

What about faith? A 2018 review of 100 studies found only a weak link overall between being religious and fearing death less. But 10 of the 11 studies that tested it directly gave some support to an upside-down U: people with strong faith and people who are firmly nonreligious fear death less, and people who are unsure fear it most. The authors said more evidence is needed.

In a 2017 study, blog posts by people dying of terminal illnesses such as cancer were more positive than posts by people asked to imagine their situation. It measured feeling in words, not inner peace, but it suggests that dread felt from a distance can be a poor forecast.

When the fear is too heavy, help exists. The Menzies review of 15 randomized trials found that talking therapies and death education lowered death anxiety a small to medium amount. Cognitive behavioral therapy (CBT), a common talk therapy, showed the clearest benefit, though the studies were few and often weak.

What have philosophers offered?

The Greek philosopher Epicurus (341–270 BCE) wrote that death is “nothing to us.” As the Stanford Encyclopedia of Philosophy explains his reasoning, everything good or bad for us comes through what we feel. While we exist, death is not here. When death is here, we are not there to feel it.

The Roman poet Lucretius, a follower of Epicurus in the first century BCE, added the symmetry argument. The time before you were born does not trouble you. The time after death is its mirror image, he said, so it need not trouble you either.

Epicureans hoped such arguments would bring peace of mind. Critics feel they miss the point. The philosopher Thomas Nagel argued in 1970 that death can be bad for us because it takes away the good life we would otherwise have had. The Stanford Encyclopedia adds a reply: birth starts a good thing going, while death brings a good thing to a close. So the two sides of the mirror are not alike.

Bernard Williams argued the reverse: never dying would become unbearable, because we could not stay ourselves and stay attached to life forever. The Roman emperor Marcus Aurelius, a Stoic, treated death, and the passing of all things, as not up to us. Whether death ends us or nature transforms us, he suggested, a philosophical life means rising above it.

How do different traditions approach it?

Here are a few answers, in no ranked order. Each tradition is far richer than one line can show.

  • Buddhist. In one short teaching, the Buddha names five facts to reflect on often, including “I am subject to death,” and adds that all beings share this. The reflection is meant to weaken careless living and guide good conduct.
  • Christian. In the early 1400s, the Ars moriendi, “the art of dying,” was written to help friars care for the dying. It described a good death as overcoming five temptations: loss of faith, despair, impatience, pride and greed (Espí Forcén and Espí Forcén, 2016). A 2024 nursing article argues that hospital nurses caring for dying patients can still learn from it.
  • Jewish and Christian. A psalm prays, “Teach us to count our days rightly, that we may obtain a wise heart” (Psalm 90:12).
  • Muslim. The Qur’an says that every soul will taste death, and that people will be repaid in full on the Day of Resurrection.
  • Hindu. In the Bhagavad Gita, Krishna tells the warrior Arjuna that the soul is not destroyed when the body is destroyed.
  • Secular. At a Death Cafe, people, often strangers, meet over tea and cake to talk openly about death. Its organizers count more than 24,000 gatherings in 100 countries since 2011. It is a conversation, not grief counseling.

Where can people of faith and skeptics agree?

Believers and nonbelievers often disagree about what comes after death. Yet across these traditions, people are asked to face death rather than hide from it, and to let that awareness shape how they live now. And people of every view can agree that no one should have to face the end alone or in pain.

What do people who care for the dying see?

Palliative care eases the symptoms and stress of serious illness. It can begin at any stage, alongside treatment. Hospice is care at the end of life, usually for people expected to live six months or less. Its stated goal is to help people who are dying have peace, comfort and dignity (MedlinePlus).

These teams may include chaplains, psychologists and social workers. The U.S. National Cancer Institute says a palliative care expert can help people explore their beliefs and values so they can find a sense of peace or a point of acceptance that fits their situation.

A national survey from 1999 asked seriously ill patients, bereaved families, doctors and other caregivers what matters at the end of life. All four groups rated pain control, preparing for death and a sense of completion as important. Patients rated some things higher than doctors did, including not being a burden, helping others and coming to peace with God.

In a 2010 trial, 151 people with advanced lung cancer were randomly assigned to usual cancer care, with or without early palliative care. Those who got palliative care early reported a better quality of life, and fewer had signs of depression (16% versus 38%). That is one trial, but a 2016 review of 43 trials also linked palliative care to better quality of life, though less strongly in the most careful trials. The World Health Organization estimates that only about 14% of people worldwide who need palliative care receive it.

Isn’t making peace with death a way of giving up?

This is the strongest objection. If death takes away the good life we would have had, as Nagel argued, maybe calm acceptance is a mistake. Maybe we should fight it with everything we have.

Philosophers offer a reply. One route to peace would be to stop wanting anything death could take. The Stanford Encyclopedia explains why that backfires: to be fully safe, you would have to give up the very hopes that make life good. A milder version, not pinning everything on goals no lifetime could finish, can be wise. Peace is not the same as wanting less. A person can accept that death will come and still wish, openly, for more time.

Another common mistake: the famous “five stages” (denial, anger, bargaining, depression and acceptance) come from Elisabeth Kübler-Ross’s 1969 book On Death and Dying, based on her talks with more than 200 dying patients. Reviewers have found little evidence that people move through set stages in order, and a 2017 review, focused mainly on grief, warned that expecting stages can hurt people who don’t follow them. If acceptance comes and goes, or never looks tidy, nothing has gone wrong.

Fear is not a failure, either. If fear of death is taking over your sleep or your days, a doctor or counselor can help. If you ever have thoughts of ending your life, please reach out now. In the U.S., call or text 988 to reach the 988 Suicide & Crisis Lifeline. It is free, confidential and open 24/7.

How can you check this yourself?

  • Read Epicurus’s argument and its critics in the Stanford Encyclopedia of Philosophy entry on death. Which step, if any, do you reject?
  • Open the studies linked above. Check how many people took part, and whether researchers followed the same people over time.
  • Read a tradition’s own texts, then ask someone who lives by them what those words mean to them.
  • If someone you love is seriously ill, ask the care team who helps with fear and spiritual questions.

No study can tell you what peace should feel like for you. But you can see what the evidence says, where it stops, and where the choice is yours.

THREE THINGS TO REMEMBER

  1. Many people find some peace with dying, but it looks different for each person and can come and go.
  2. Research on the fear of death is real but limited, and some key findings have been hard to repeat.
  3. Faith, philosophy and good care offer different paths, and science cannot rank them.

WORDS WORTH KNOWING

Death anxiety
Worry or dread about dying or being dead. Some is common; when it takes over daily life, talking therapies can help.
Terror management theory
A psychology theory that says people cope with knowing they will die by holding on to their worldview and their sense of self-worth.
Symmetry argument
Lucretius’s argument that the time after death mirrors the time before birth, so it need not be feared.
Palliative care
Care that eases the symptoms and stress of serious illness. It can be given at any stage, alongside treatment.
Hospice
Care at the end of life, usually for people expected to live six months or less, aimed at peace, comfort and dignity.

Sources & further reading

  1. Death (Stanford Encyclopedia of Philosophy) ↗Epicurus (341–270) and the Letter to Menoeceus; Lucretius’s symmetry argument and its weak reading; Nagel’s 1970 deprivation view; Williams on the tedium of immortality; why giving up every desire death could thwart backfires.
  2. Death anxiety across the adult years: an examination of age and gender effects ↗Two studies (304 adults aged 18 to 87; 113 women aged 18 to 85): death anxiety peaked in the 20s and declined; women showed a second rise in their 50s.
  3. Two decades of terror management theory: a meta-analysis of mortality salience research ↗164 articles with 277 experiments; reminders of death had moderate effects (r = .35) on worldview and self-esteem measures.
  4. Many Labs 4: Failure to replicate mortality salience effect with and without original author involvement ↗17 labs and 1,550 participants could not replicate a classic terror management finding under any condition.
  5. The religious correlates of death anxiety: a systematic review and meta-analysis ↗202 effect sizes from 100 studies: weak negative link overall; 10 of 11 studies testing an inverted-U found some support; more evidence needed.
  6. Dying is unexpectedly positive ↗Blog posts by patients near death from cancer or ALS were more positive than simulated posts and grew more positive as death neared.
  7. The effects of psychosocial interventions on death anxiety: a meta-analysis and systematic review of randomised controlled trials ↗15 randomized trials; small to medium reduction in death anxiety (g = .45); CBT most effective; studies few and generally low quality.
  8. Association between palliative care and patient and caregiver outcomes: a systematic review and meta-analysis ↗43 randomized trials with 12,731 patients: palliative care linked to better quality of life, a smaller but still significant link in the 5 trials at low risk of bias; no link to survival.
  9. Early palliative care for patients with metastatic non-small-cell lung cancer ↗151 patients randomized; better quality of life, fewer depressive symptoms (16% vs 38%) and less aggressive end-of-life care with early palliative care.
  10. Palliative Care (fact sheet) ↗Palliative care can be given with or without curative care; teams may include chaplains, psychologists and social workers; help finding a sense of peace or acceptance appropriate to each person.

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