Webinar: Adoptees and Suicide Prevention

Last night (October 26, 2021), United Suicide Survivors International hosted a powerful webinar featuring four adult adoptees. Suicide is a tough subject, and the connection with adoption can seem surprising and troubling. I hope you will watch the video, and listen to the wisdom of Amanda Transue-Woolston, Kevin Barhydt, Jessenia Arias, and Lynelle Long. These four amazing people include authors, founders of adoptee-led and adoptee-focused organizations, and selfless contributors to improving the lives of adoptees.All have experienced suicidal ideation. As an adoptive parent, I am grateful to and in awe of them.

They do not seek attention or congratulations for their work. At the webinar, they shared their stories with grace, and they offered information, resources, and hope.

There were several important points. One that struck me was that, for many, 14 years of age was an especially pivotal time. For those of you who are raising teens, be aware that this age, with its hormones and developmental awakenings, may be particularly vulnerable. I am not a therapist, and of course you should consult with professionals as needed. I was though struck by this.

Another takeaway might be that while therapy can be valuable and vital to adoptees, if a child/teen is in therapy, the adoptive parents should be going too. Dropping off the teen at therapy is important: going to therapy yourself, as the parent, is also. I’d add that adoptive parents could also attend therapy even when their child is an adult.

If you are looking for therapists who are also adoptees, here is an excellent list, curated by Dr. Chaitra Wirta-Leiker.

I was heartened to see how many adopted adults attended, as well as adoptive parents and agency folks. The Chat was full of comments and questions. The whole webinar had a compelling energy, of both vulnerability and strength.

We skimmed only the surface in this hour, and there are many subjects we plan to dive into in the future. If you have ideas about topics, please feel free to share them here.

Take good care of yourself. Exercise self-care. Learn how to ask and talk about suicide, as one means of preventing suicide. I’ll be posting more resources soon. Help and information are available here and here, as starting points.

Be sure to follow the work of United Suicide Survivors International. They are the first suicide prevention platform I am aware of that has presented a webinar connected with adoption, and I appreciate that very much. Stay tuned for more.

Here is the video of the webinar via Facebook: https://fb.watch/8VjxPAQWyG/

Realities and Remembrances Around Suicide and Adoption

My post today is a retrospective and resource guide of sorts. I am linking to my previously published posts about suicide and adoption, among the hardest topics to write about. Still. I want to honor the memory of Fisseha Sol Samuel, who died by suicide four years ago today.

There are other adoptees I’ve written about as well, who died by suicide: Gabe Proctor, Philip Clay, Kaleab Schmidt. In my own circle of deeply loved friends and family, (some adopted, some not), I know people who have had breakdowns, who have been hospitalized, who are on meds, and who have scars both visible and hidden, There are many others whom I have not written about and never will. I hold all of them in my heart. I hope you do too.

And maybe you have your own list of dear friends or family who have considered, attempted, or died by suicide. Maybe suicide is something you have considered yourself. My heart acknowledges and aches for your sorrow.

Please know that there are resources and help available. Please know that things can get better. Please know that there are people who would grieve your leaving the world, even if you don’t know them, or know them now.

Let me clear: Most adoptees don’t attempt or die by suicide. Suicides happen for complicated reasons, and adoption may or may not be a factor. That said, we need to be aware, and to talk about it. Suicide is, regardless of adoption status, a major public health concern.

It’s a cold, rainy day here today, and we are going through complicated, difficult times in the world. It’s so easy to feel overwhelmed. You’re not alone. There are no magic wands. There is still, though, purpose and the potential for joy. Always. 

Here are a few links to my previous posts. Click on them if you wish. I offer them with the hope they may be useful. May those who have died be at peace. May those of us still here be at peace as well.

Here are some other statistics and resources:

Suicide is a Leading Cause of Death in the United States

  • According to the Centers for Disease Control and Prevention (CDC) WISQARS Leading Causes of Death Reports, in 2016:
    • Suicide was the tenth leading cause of death overall in the United States, claiming the lives of nearly 45,000 people.
    • Suicide was the second leading cause of death among individuals between the ages of 10 and 34, and the fourth leading cause of death among individuals between the ages of 35 and 54.
    • There were more than twice as many suicides (44,965) in the United States as there were homicides (19,362).

LGBT Youth at Higher Risk For Suicide Attempts  

Preventing Youth Suicide: Tips for Parents and Educators

Suicide Prevention: How to Help Someone Who Is Suicidal

Tomorrow (October 10) is World Mental Health Day: Here is information about it from the World Health Organization.

 

Resources Around Trauma and Suicide in Adoption

It’s a balancing act to discuss adoption as trauma. The idea of adoption as trauma is relatively new, and I understand that it’s disconcerting for many people. Separation from one’s mother as baby or child is traumatizing; we are hardwired to connect with our mothers. Adoptees often undergo additional separation from caregivers in a foster home or orphanage. Those losses can be traumatic as well, and the trauma can manifest over time or later in life. Depression is also disconcerting, to the 19 million Americans who struggle with it and to those who love the people who are struggling. Many adoptees struggle as children, as teens, and as adults with anxiety and depression. Talking about these medical conditions can be hard. Still, as anyone involved in adoption or in life knows, not talking about difficult, uncomfortable things rarely ends well.

It’s also a balancing act to encourage discussion about suicide without encouraging suicide. Same with remembering those who have died by suicide without inadvertently glamorizing suicide. High schools, for example, face this dilemma when a student has died by suicide, not wanting to trigger any sort of imitation, or “suicide cluster.”

Suicide is the third top cause of death among 10 to 14 year olds, and the second top cause among 15 to 24 year olds.

My post Suicide and Adoption: We Need to Stop Whispering has been shared on Facebook about 800 times since I published it last Monday. There have been several thousand views and visitors, and I have heard personally from many people. Clearly, it struck a chord, and we need to keep this conversation going, even if it is complicated and difficult to balance.

For anyone in crisis, call this number: 1-800-273-8255. You can call the number if you are considering suicide or if someone you know is. Available anytime, day or night. 24/7/365.

Two significant resources are the Suicide Prevention Lifeline and the American Foundation for Suicide Prevention. Both have huge amounts of information, research, and more. I’ve reached out to both organizations above, asking if they would consider providing adoptee-specific information on their websites.  I’ve offered to draft material and network with them about this, and I hope I hear back soon. Please reach out to them as well.

Here are suggestions for talking with someone who may be suicidal. I share this because there are many resources available for this tough stuff.

Most suicide attempts are rooted in some sort of trauma and/or depression. Many people who have considered or died by suicide have also been diagnosed with depression and/or Post-Traumatic Stress Disorder. President Obama in February signed a suicide prevention law to make it easier for U.S. military veterans to access mental health resources. The law also provides funding to recruit and retain professionals to help veterans struggling with PTSD and other challenges.

Here’s an eye-opener: Former foster care children are almost twice as likely as US war veterans to suffer from PTSD. You can read more in this Casey Foundation report.

I’ve cited, several times, the American Academy of Pediatric’s report that adoptees are 4 times as likely to attempt suicide as non-adopted people but it bears sharing again. Read the report here.

We can recognize that trauma is a part of adoption, without claiming that all adopted people are affected the same way. Many do just fine, handling challenges with resilience and strength. Many struggle, and those are the ones I want to recognize, acknowledge, and assist, if possible.

Here are some strategies and resources:

  • Learn about trauma in adoption. “Assume that all children who have been adopted or fostered have experienced trauma.” That is a central quote from the American Academy of Pediatrics guide for pediatricians, “Helping Foster and Adoptive Families Cope With Trauma.” Share this resource with your pediatrician.
  • Make suicide awareness a component of pre-adoptive parent training classes. Suicide awareness should be part of information provided to prospective parents about trauma, depression, and anxiety disorders, and their frequent appearance in adoptees.
  • Insist on speakers in pre- and post-adoption workshops who have struggled with depression and trauma. Agencies: Improve networking with adult adoptees and adoptees who are therapists, so that adoption agencies have several speakers to provide for families.
  • Understand why access to medical histories for adoptees is essential. Denial of that information (which could be lifesaving), in regard to mental illness and other medical conditions, is unconscionable. The American Adoption Congress has focused its legislative advocacy efforts on opening access to original birth certificates. Information is available here.
  • Advocate for adoption competency among therapists. Suggest that families also look for therapists trained in childhood trauma, as well as in adoption-related issues.
  • Advocate for strong post-adoption mental health services for everyone: the adoptee, the adoptive parents, and the first/birth parents.
  • Suggest, promote, and provide workshops with titles like “Depression Among Teenage Adoptees: What It Looks Like, What Can Help,” or “The Presence of Suicide in Adoption,” or “PTSD and Adoptees: The Realities and the Treatments,” and “Adult Adoptees Speak Out About Depression, Anxiety, and Suicide Prevention.”
  • Learn about the impact of bullying and cyberbullying on children and teens. According to the site stopbullying.gov, “Although kids who are bullied are at risk of suicide, bullying alone is not the cause. Many issues contribute to suicide risk, including depression, problems at home, and trauma history. Additionally, specific groups have an increased risk of suicide, including American Indian and Alaskan Native, Asian American, lesbian, gay, bisexual, and transgender youth. This risk can be increased further when these kids are not supported by parents, peers, and schools. Bullying can make an unsupportive situation worse.”
  • Adoption agencies and adoption-related organizations: Provide current, substantial lists of resources to families about therapists, therapies, articles, podcasts, videos, and more related to adoption, depression, and suicide prevention.
  • Learn about psychotherapies that can benefit people struggling with depression and trauma. The National Institute of Mental Health has clear information: Psychotherapies. One therapy, Dialectical Behavior Therapy (DBT) is for chronically suicidal people diagnosed with borderline personality disorder, and is also used for substance dependence, PTSD, and depression.
  • Learn about the role of addiction in adoption, and how addiction and substance abuse intersect with trauma and depression. One resource is a YouTube video by Paul Sunderland, titled Adoption and Addiction.

Fill yourself and your loved ones with accurate information, with hope, and with attention to deep listening. Let go of shame and fear about mental illness, and encourage others to do so as well. All of us in the adoption community can work together in a powerful way to increase awareness of suicide, and to promote suicide prevention.