The Berean - 2 Kings 4:31 NASB
(31) Then Gehazi passed on before them and laid the staff on the lad's face, but there was no sound or response. So he returned to meet him and told him, "The lad has not awakened."
New American Standard Bible
The biblical writer uses an interesting clause to relate the child's continued state of death: "there was neither voice nor hearing." Today, we would say, "There was neither pulse nor breathing," but the Hebrew author highlights speaking and hearing as signs of life. Why?
Obviously, the Israelites knew that "the life of the flesh is in the blood" (Leviticus 17:11; see Genesis 9:4), and that God "breathed into [Adam's] nostrils the breath of life; and man became a living being" (Genesis 2:7). The writer of II Kings, then, is not giving medical or clinical proof of the child's death but commenting on the state of death. When someone is dead, they can no longer speak or hear; communication is impossible.
What makes this especially interesting is that God frequently speaks of spiritual enlightenment as "life" and spiritual darkness or degeneracy as "death." Speaking of the uncalled, Jesus tells a potential disciple, "Follow me, and let the dead bury their own dead" (Matthew 8:22). He tells the church in Sardis, "I know your works, that you have a name that you are alive, but you are dead" (Revelation 3:1). Paul writes, "And you He made alive, who were dead in trespasses and sins" (Ephesians 2:1). In Ephesians 5:14, he says, "Awake, you who sleep, arise from the dead, and Christ will give you light."
The child typifies the individual Christian. He is dead and can neither speak nor hear. What happens to the Christian who dies spiritually? No longer does he communicate God's way in any fashion—by deed or speech; he cannot "talk the talk" or "walk the walk"! Nor are his ears open and attentive to God's Word. As Jesus says in Matthew 13:15:
For the heart of this people has grown dull. Their ears are hard of hearing, and their eyes they have closed, lest they should see with their eyes and hear with their ears, lest they should understand with their heart and turn, so that I should heal them.
A biblical euphemism for death is sleep. For instance, in I Corinthians 11:30, Paul explains that many had died for taking the Passover unworthily: "For this reason many are weak and sick among you, and many sleep." He uses this euphemism similarly in Acts 13:36: "For David, after he had served his own generation by the will of God, fell asleep, was buried with his fathers, and saw corruption" (see also Daniel 12:2; I Corinthians 15:20, 51; I Thessalonians 4:14).
Because the Bible connects death and sleep so closely, it also uses the metaphor of sleep for spiritual decline. The best known example of this is the Parable of the Ten Virgins in Matthew 25:1-13. The lesson is that we must stay spiritually alert, especially as Christ's return nears, but Jesus prophesies that all of God's people will fall asleep on their watch! On this point, Paul advises us:
And do this, knowing the time, that now it is high time to awake out of sleep; for now our salvation is nearer than when we first believed. The night is far spent, the day is at hand. Therefore let us cast off the works of darkness, and let us put on the armor of light. (Romans 13:11-12)
In II Kings 4:31, Gehazi reports to Elisha and the Shunammite woman, "The child has not awakened." Like the individual Christian at the end time, this child is "dead"—he "sleeps" because of overlong exposure to the "fiery darts of the wicked one" (Ephesians 6:16), from which he had no protection. His only hope of revival lies in the mercy and power of God and the faithfulness of His true minister.
— Richard T. Ritenbaugh