The authors report on their experience of the integrated medical and psychological care in a pediatric intensive care unit. They describe an individualized psychological management of the child at high risk of imminent death. The helpful attitudes and people are identified such as a loving human presence, a climate of trust, life openness and tolerance to child's reactions and receptiveness to the still present life. With the provided support, the child possibly goes through his difficult experience in a more serene way, at his own rythm, with the respect and the acceptance for his individual expression.