The character Conchetta dies prior to the events of "The Pigman" due to a stomach ailment, abscessed tooth, and heart attack, as mentioned by John and Lorraine in the book.
Her death serves as a significant event that impacts John's family dynamics and his relationship with his mother, as they struggle to cope with the loss.
Conchetta's death also foreshadows themes of mortality and relationships throughout the novel, adding depth to the characters' development and the story's narrative.