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Kind of mirroring the other responses, this really depends on so many factors. The maturity of the child, the type of content of the game, the type of violence that's being displayed...
Overall, hyper-realistic violence does more damage than fantasy violence but this is again dependent on the child's developmental level. A lot of people like to cite the "violent video games lead to violence" but there is no study that has verified that. They've found a co-relation between violent video games and violence but not causation. So, it could just as easily be people with more aggressive tendencies are drawn to violent games as it could be violent games create more violence.
It's really a case by case basis. I've known kids that were very young that could likely handle very mature game plots/imagery and I've known some adults that likely shouldn't be playing them...
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