Australia Calls for More Research on Suicide and Adoption

An important report, “Intercountry Adoption and Suicide in Australia: A Scoping Review,” has been released by the Australian Department of Social Services.

While it focuses on Australia, the report has great relevance to other countries, both sending and receiving. More research is needed, and there is enough research globally (especially from Europe and the US) that action is needed as well.

Please share this report with adoption agencies, adoption organizations, therapists, and anyone with a connection to the adoption community. We need both more research and more prevention strategies.

Recommendations from the report from authors Ryan Gustafsson and Patricia Fronek include the following:

  • Increased collection of data on adoptee suicide.
  • A question on connection to adoption in all health care settings (i.e., “Are you affected by adoption?”)
  • A question about connection to adoption in practitioner interviews following suicide.
  • Increased identification of risk and prevention strategies in the intercountry adopteee community.
  • Development of practice guidelines (for therapists, counselors, health care practitioners) including adoptee experiences to inform interventions for at-risk adoptees.
  • Increased awareness in adoption communities, in schools, and for therapists and health care practitioners, about suicide and intercountry adoptees.

Adoptees Connected with the Report

Among the adoptees who contributed to the research cited in the report are the following: Amanda Baden, Tobias Hübinette, Hollee McGinnis, Gina Samuels, Lina Vanegas, Indigo Willing, Soorien Zeldenrust, Dong-Mi Engels, and Inter Country Adoptee Voices (ICAV).

The art in the report was created by three Australian adoptee artists: Gabby Malpas, Ebony Hickey, and Jonas Haid.

© Commonwealth of Australia (Department of Social Services) 2022

Here are a few takeaways from the report.

“Unknowns”

“Barriers to communication about the adoption experience and the disconnect between how an adoptee is expected to feel and how they actually feel are commonly reported experiences. Living with a set of ‘unknowns’ can be particularly challenging during significant life events such as searching for first family or visiting country of origin, medical diagnoses, childbirth, or loss of family members. Moreover, these challenges are not necessarily resolved when an adoptee is able to reconnect with their first families.”

Impact of Racism

“In addition, experiences of racism, discrimination, and microaggressions have been documented in studies on transracial adoptee experiences (Fronek & Briggs, 2018; Hübinette & Tigervall, 2009). The isolating impacts of racism can be exacerbated if adoptive families are dismissive of adoptees’ experiences and can lead to ‘topic avoidance’ around issues of race within adoptive familial contexts (Chang, Feldman, & Easley, 2017; Docan-Morgan, 2010; Samuels, 2009). Racism, including everyday racism, functions to intensify difference and is a common experience for many adoptees in Australia as well as internationally (Walton, 2012).”

Studies on Suicide Risk and Adoptees

“Von Borczyskowski et al. (2011) compared outcomes for adoptees and non-adoptees born between 1946 and 1968, and found adoptees had higher rates of suicide, 8.5 compared to 5.2 per 1000 men and 3.9 compared to 2.0 per 1000 women. Although the researchers point to heritable risk factors, they also suggest that adoption itself may lead to increased suicide risk. In their investigation of the link between school grades, parental education, and suicide among Swedish birth cohorts born between 1972 and 1981, Björkenstam et al. (2011) found the suicide rate for adoptees was more than twice that of non-adoptees and a correlation was found between low school grades and suicide risk.”

“Elevated risks of death by suicide”

“The meta-analysis conducted by Campo-Arias, Egurrola-Pedraza and Herazo (2020) found that intercountry adoptees carried twice the risk for suicide attempts. The studies conducted in Nordic countries and Minnesota found elevated risks of death by suicide and non-fatal attempts up to four and five times greater for intercountry adoptees than other sections of the population…

It has been suggested that intercountry adoptees’ experiences of racialisation, racial isolation and discrimination lead in some cases to severe crises of identity and that adolescent adoptees can face additional difficulties regarding belonging and identity due to having to navigate multiple identities.”

Systemic and everyday racism; Racial isolation, discrimination, and bullying

“Hübinette (2012) contended that systemic and everyday racism, and the distinct bodily and affective impacts of transracial placements, must form part of analyses of intercountry adoptees’ heightened vulnerability and high suicide rates. Similarly, Schwekendiek (2019) described how the racial isolation, discrimination and bullying experienced by Korean adoptees contributes to social maladjustment.”

Recommendations for Health Care Practitioners

“Graham (2014, p.21) suggested including the question “are you affected by adoption?” in all healthcare intake settings nationwide, including crisis helpline services, as well as increasing awareness among practitioners of adoptee suicide risks. Similarly, Baden et al. (2016) recommended developing and implementing training programs for all clinical practitioners to ensure adoption-competent approaches to service provision and the need to develop evidence-based practices to intervene with adoptees at risk. Importantly, they recommended that instruments be validated, and interventions developed with intercountry adoptees, first parents and adoptive parents. The need for identifying, implementing, and evaluating post adoption support services is recommended (Gair, 2015; Fronek & Briggs, 2018). This is particularly important given adoptees identify that practitioners with limited knowledge of adoption is problematic when they seek help (Fronek & Briggs, 2018).”

Suicides, December, Looking for Hope

You may have heard about tWitch/Stephen Boss’s death by suicide. Just 40 years old, famous for being on the Ellen DeGeneres show and on Dancing With the Stars. He leaves a wife and three young children behind.

I’ve heard recently about another death by suicide: someone who seemed to have it all: family, career, health. And a dear friend of mine—we had known each other since high school—was found dead in his apartment. I don’t know the details of his death, though I know he had been ill, had been lonely, had been depressed, and died alone.

Some research:

From the Center for Disease Control: Middle-aged adults (aged 35–64 years) account for almost half of all suicides in the United States. Suicide is the 9th leading cause of death for this age group.

Veterans, people who live in rural areas, sexual and gender minorities, middle-aged adults, and tribal populations may disproportionately experience factors linked to suicide. These factors include substance use, job or financial problems, relationship problems, physical or mental health problems, and/or easy access to lethal means.

From the American Foundation of Suicide Prevention:

In 2020, men died by suicide 3.88x more than women. Almost four times more men than women.


In 2020, there were an estimated 1.2 million suicide attempts in the U.S..

Covid has brought a variety of heartache to so many people, and we continue to feel its impact. From the World Health Organization: “As people grapple with Covid’s health, social and economic impacts, mental health has been widely affected. Plenty of us became more anxious; but for some COVID-19 has sparked or amplified much more serious mental health problems. A great number of people have reported psychological distress and symptoms of depression, anxiety or post-traumatic stress. And there have been worrying signs of more widespread suicidal thoughts and behaviours, including among health care workers.” 

I’ve written many times about the impact of trauma in adoption, as well as the link with the gut and with race. I’ve written about the fact that an American Academy of Pediatrics study showed that adoptees are four times more likely to attempt suicide than non-adoptees. Our recent book, Lions Roaring Far From Home: an Anthology by Ethiopian Adoptees, is dedicated to Hana Williams and also to adoptees who died by suicide (eight are named in our Dedication). Several of the essays mention suicide.

It is a harsh reality.

And we cannot wring our hands and wish it were not so.

How to help? There are things we can all do.

Learn how to talk about suicide Asking someone if they are feeling suicidal is hard—and it can also make them feel less alone, give them a sense of relief that they can talk about it, and result in their getting needed help.

Check in on friends. So often folks seem successful and fine, and they may be: even so, take time to send a text or note or email.

Tell loved ones you love them. Tell them often. Let them know whenever you can.

Normalize tears and crying for men. Let (encourage even) men and boys to release their sorrows with tears. See that release as human and liberating.

Recognize the tyranny of social media and its impact on young people, especially. So many cruel comments. So many horrible news stories, of deaths and tragedy. We are deluged by cruelty. Give yourself a break from it, before it crushes your soul.

Learn the value of intentional breathing. Seriously. It helps with anxiety, and there is a lot of anxiety circulating these days. And share it with others.

December can be a very hard month. End of the year. In some places, the world is cold and gray, with little sun. Whether you celebrate Christmas or not, there are so many messages about happy families, and going home for the holidays, and all the joys of Christmas. We are all supposed to be happy. Everyone else is happy. All those messages can conflict deeply with memories, traumaversaries, mental health, economic worries, health issues. There are strategies for dealing with the anniversaries of traumatic events, which can include holidays.

Learn about signs of suicide.

Share the 988 alternative to 911. 988 is “will route callers to the National Suicide Prevention Lifeline (now known as the 988 Suicide & Crisis Lifeline), and is now active across the United States.

When people call, text, or chat 988, they will be connected to trained counselors that are part of the existing Lifeline network. These trained counselors will listen, understand how their problems are affecting them, provide support, and connect them to resources if necessary.

The previous Lifeline phone number (1-800-273-8255) will always remain available to people in emotional distress or suicidal crisis.”

For survivors of suicide (those who have attempted, and those whose loved ones have died by suicide), there are resources here, here, and here.

Take good care of yourself too. You matter, and we want you to stay.

Some Possibly Positive News About Suicide Prevention (Part 2 of 2)

Background

I write and talk about adoption and suicide because many folks don’t see any connection. Bear in mind: it’s not a statistically large connection, and I do not want to pathologize adoptees.

Here’s the thing though. The popular narrative around adoption is that it is win-win-win, and that adoptees should be happy and grateful. That is not always the case. Adoptees can love their adoptive family, have a positive family life, and still struggle with depression and suicidal ideation. And of course, they can also experience abuse and neglect, and thus struggle with depression and ideation.

As part of sharing information about suicide prevention, I wrote in April about the new 988 number that takes effect in mid-July here in the U.S. for folks experiencing a mental health crisis, including attempting suicide. When you call 988, you will not be connected to the police, but to mental health counselors at the National Suicide Prevention Lifeline. The police could still be called if a person in a mental health crisis was dangerous or committing a crime, but they would not be the first responders.

That’s important because people in a mental health crisis can be harmed or worse by police intervention; that may be especially true for Black and brown folks. They could be arrested, thrown in jail, tased, or otherwise traumatized while dealing with mental illness or a related crisis, including attempting suicide.

So the new 988 is a potentially good development for anyone, including adoptees, who are looking for help in crisis.

Resources/Information

Crisis management is important, as is being proactive with resources around suicide prevention and adoption.

There is some correlation between substance abuse/addictions and suicide. There is also some correlation between adoption and substance abuse/addictions. So it’s important to be aware of the intersection of adoption, addictions, and suicide. There is lots of information available. There are also resources for adoptees.

AdopteesOn podcasts are always incredibly thoughtful and insightful. Here’s a link to the conversation with adoptee Miguel Caballero. From the AdopteesOn site: “Miguel shares some of his story with us including how he got sober eight years ago. There are so many adopted people who struggle with addiction, and Miguel describes feeling that he had a birth-mother-shaped hole to fill. He’s gone on to fill a great need in our community by starting the peer-led support group Adoptees and Addiction.”

Every Sunday, adopted people can attend this peer-led support group via Zoom: check out Miguel’s site, Adoptees and Addictions. From the site: “Most members would say that the power of the group comes from being in a meeting where you don’t have to explain anything about being an adoptee, where you can talk about adoptee issues or addiction issues without fear of judgment or misunderstanding and with lots of heads actually nodding in recognition along with what you’re saying.”

Zara Phillips, an adopted person, is an “Adoption/Addiction Recovery Coach.” She offers individual sessions, and she works “alongside therapists and a team of people to help you move forward.”

Zara is a speaker along with Gabor Maté on this video, “The Trauma of Relinquishment – Adoption, Addiction, and Beyond.”

The National Association of Adoptees and Parents hosts “Adoptee Paths to Recovery” meetings on line. The next one is May 17. Here’s the link: https://naapunited.org/adoptee-paths-to-recovery

Paul Sunderland gave a valuable lecture on “Adoption and Addiction.” Many folks consider it to be one of the best talks ever on the issue.

Advocacy

Join me in becoming an advocate for information, and for increased awareness of suicide prevention within the adoption community. A good resource, though not adoption-specific, is the recent podcast “What Do Parents Need to Know About Suicide?” from “Ask Lisa: the psychology of parenting.” The guest is Dr. Jonathan Singer, co-author of Suicide in Schools: A Practitioner’s Guide to Multi-Level Prevention, Assessment, Intervention, and Postvention. The podcast is less than a half hour long, and includes several useful points: Most suicides occur in the springtime and fall, not around holidays. Cutting can be a step toward suicide, but not always by any means. Sleep is one of the most important needs of teenagers.

Dr. Singer noted that suicides are increasing among Native American/Indigenous, Black, and Latino individuals. That said, white middle aged men have the highest rate of suicide. (There may be no correlation whatsoever here, but it may be interesting to consider that many transracial adoptees have white, middle aged adoptive fathers.)

I invite you to join me in this bit of advocacy: every time you see a tweet or a post about a suicide-related podcast or report, ask the speakers/writers to consider and promote research about the intersection of depression/suicide with adoption. You can cite the 2013 American Academy of Pediatrics report that found adoptees were four times more likely to attempt suicide than non-adoptees. The adoption community needs much more and current information. Urge researchers, podcast hosts, writers, scholars, therapists, and doctors to speak out about this need.

Here’s what I tweeted to the Ask Lisa (@LDamour) podcast: “A strong podcast for parents of teens. Valuable info. That said: We need much more current research in the #adoption community re the intersection btwn adoption & #depression/#suicide

I also invite you to advocate for suicide prevention training in schools. Elementary and high schools can be strong partners in suicide prevention. If your child attends school, ask the administration to provide a suicide prevention training for students, or a PTA program about suicide prevention. Information about trainings for schools is available from the Suicide Prevention Research Center, as well as “K-12 School Suicide Prevention” from the American Foundation for Suicide Prevention.

Also, if you are an adoptive parent, as I am, use your place in the adoption community to wholeheartedly uplift adoptee voices and lived experiences. Promote the wisdom of adoptees. Share their websites and research, their Twitter handles, and their publications and posts. Read #adopteetwitter and #adopteevoices. You can learn a great deal from a variety of adopted adults. Don’t feel compelled to comment—read and learn.

There is no magic wand around suicide prevention. There are, though, increasing numbers of resources, and reasons to be hopeful.

Some Possibly Positive News on Suicide Prevention (Part 1 of 2)

One of my most heartfelt and pressing concerns in the realm of suicide prevention is the intersection of the police with Black and Brown adoptees dealing with suicidal ideation or attempts. Many Black people do not trust police. Many police are not trained to deal with mental illness, though mental illness could be a factor in up to half of all police shootings.

So when a Black or Brown adoptee is experiencing a suicidal crisis, calling 911 might not be at all the best option.

There could be some hope on the horizon.

The 24/7 National Suicide Prevention Lifeline at 800-273-8255 or texts to 741741 are solid resources. Use them, share them.

Currently, when a person is in crisis, many folks dial 911, regardless of whether any crime is being committed. The police may be called to an emotionally fraught situation with someone who is considering suicide, and police may or may not be the appropriate source of help, for many reasons.

Christian Hall, an adoptee from China, on December 30, 2020, was killed by Pennsylvania state troopers who had been called when he was reportedly suicidal and had what appeared to be a firearm. His adoptive parents have sued the police, looking for accountability, transparency, and more mental health services. From the article “A year after police killed Christian Hall, his parents continue calls for accountability”: 

“The challenge of finding mental health care is a common one for Asian American adoptees, particularly those living outside urban centers, said Kimberly Langrehr, a Chicago-based psychologist and Asian American adoptee herself. 

“They are living in a world that really knows little about adoption, is heavily misinformed about race and unfortunately also has a stunted understanding of mental health,” she said. 

Hall’s parents hope his story brings awareness to gaps in culturally competent mental health resources for Asian American adoptees, as well as the importance of mental health training for law enforcement officers.”

One new resource here in the U.S. will be available in mid-July: a 988 line, as opposed to 911. The idea is to send mobile crisis response teams, including trained mental health professionals, to folks in crisis, with the goal of not involving armed police.

The calls will still go via the National Suicide Prevention Lifeline. The 988 number, though, is easier to remember, and will avoid a (perhaps unnecessary) call to 911/police. That could make Black and Brown folks feel less worried about police involvement in time of a mental health crisis.

However, the effectiveness of 988 depends on the individual state. Here in Washington state, where I live, the implementation of the 988 program is going well. In other states, that may not be at all the case. A Reuters article says this:

“Few states have resources such as mobile crisis teams in place to respond to calls for help. Statewide crisis services are available or are being ramped up in Virginia, Utah, Oregon, Washington, Nevada and Colorado, according to the National Association of Mental Health.

“In some places, you’re probably in good shape,” said Hannah Wesolowski, a spokesperson for NAMI, the national mental health advocacy nonprofit. “You could call 988 and there are going to be mobile crisis teams and a pretty robust crisis infrastructure. But in other places, good luck.”

And that, to me, is a tragedy. Access for some folks (such as adoptees, and especially in rural areas) to mental health services may continue to be limited, including suicide crisis intervention.

Talking about suicide is difficult, and connecting it with trauma and adoption is complicated. In my next post (Part 2 of 2), I will share some steps for advocacy on suicide prevention, especially in our adoption community.

Meanwhile, here are a few resources:

The Newport Institute has several articles about young people and mental health: “The Effect of Stress on College Students.” “Looking for ‘Likes’: Teens and Social Media Addiction,” “The Effects of Suicidal Attempts on Family Dynamics,” and more.

National Institute for Mental Health Research-UK: “Adopted children can experience lasting mental health problems.”

Befrienders Worldwide operates in 32 countries to provide emotional support in times of crisis, including around suicide.

Having a Conversation with Someone You’re Worried About

“The Last Person on Earth A mother considers her son’s final thoughts and a type of suicide we don’t fully understand,” from 2018, by Melissa Fay Greene, an adoptive parent.

Twitter Chat December 16 on Adoption and Suicide

On December 16 (December 17 in some time zones), United Suicide Survivors International will host a Twitter Chat to #ElevatetheConvo about adoption and suicide.

I am honored to be among the panelists: it is a wonderful group. The subject is a tough one, and it deserves visibility. We are all focused on suicide prevention, and on hope and strength for our community.

Please tune in!

Resources (U.S.): 24/7 National Suicide Prevention Lifeline 800-273-8255; counselors will respond.

You can also text 24/7 to 741741; counselors will respond.

Help is available. You are not alone.

Adoption and Suicide Prevention: An Upcoming Webinar

I am helping put together a webinar with a suicide prevention organization about the intersection of suicide and adoption. The focus will be on adoptees; they will be the main and most valuable speakers. There are two goals we are focusing on now: bringing greater awareness about suicide (grief, trauma, loss) in the adoption community, and providing resources and strategies for talking about and preventing suicide.

What would you like to have in a webinar like this? What questions might you pose, might you like to see answered/discussed?

You are welcome to respond here, or to contact me at Maureen at LightofDayStories dot comI am reaching out to various experts, and am energized by doing so. I recognize the complexity of this subject and discussion. We can do a lot to create a climate that provides help, intervention, and support. I hope to hear from you.

“Adoptees, Mental Health, and Suicide Awareness”

The role of suicide and mental health in adoption are topics most people don’t want to hear about. As an adoptive parent, I’ve been writing and speaking out about it for years, and I know how painful and difficult it can be. That said, we need to talk and learn, and work toward suicide prevention and better mental health.

This Saturday September 12, Adoption Mosaic will host a panel called “Adoptees, Mental Health, and Suicide Awareness: Breaking the Silence, Breaking the Stigma, as part of their “We The Experts” series. The experts are adoptees, who share their lived experiences, as well as professional expertise. If as an adoptive parent you ever wished you could be a fly on the wall for discussions like this one, here’s your chance to listen to and learn from adoptees. I want to give credit and respect to the adoptees who will participate: they will be helping so many others with their courage and experience.

The focus on the “We the Experts” events is adoptees. Please share this event (and others in the We The Expert series) with adopted adults and others who may be interested. Non-adopted folx are welcome to attend: as listeners, as learners, as supporters of adoptees. Not as experts, not as authorities, not as dominating voices.

As an adoptive parent, I learned a lot about adoption as my kids were growing up. My sons were babies from the US when they were adopted; my twin daughters were 6 years old when they arrived from Ethiopia. All my children identify as Black; their adoptive dad and I are White. My children are all now adults in their 30’s. 

Over the years, we have had a lot of conversations about adoption. My four children’s perspectives on adoption vary greatly, around wanting or needing to search for birth family, around how they react to friends asking about their birth parents or why they were adopted, around trust, grief, Mother’s Day, and fairness. As children, they participated in adoptee camps and workshops, more or less willingly depending on age and mood. They dealt with memories or the lack of them, with baby photos or lack of them, with family tree assignments (never lacked them). As adults, they have settled into their identities, on their own terms, subject to change.

Questions and issues around adoption don’t end magically when adoptees turn 18. Children grow up. They seek out partners and relationships, and adoption can influence both. They have children themselves, who are not adopted and whose parents were. Those biological connections are powerful. As a mom, a grandmother, and the parent of adoptees, I continue to see the impact of adoption, and to learn.

One of the best ways I’ve been learning recently is through Adoption Mosaic’s “We the Experts” series. Depending on the topic, we get to listen to adopted adults talk about their experiences as parents, and how being adopted has affected their relationships with their children. We can learn why or why they chose to search for their birth family, how they have retained or rejected the religion they grew up in, what their relationships with their fathers have been like, and most recently, how they view DNA testing. In August, there was a great conversation about LGBTQ+ folx and adoption. The panelists talked about coming out to adoptive families, sexual orientation and how it can affect reunion, how dating and adoption can intersect (among other intersectionalities), and more. There was so much to say they held another session the following Saturday, and I have no doubts many conversations are still going on.

The panelists are consistently amazing and insightful. The adoptees attending the events ask great questions and share thoughtful comments. Astrid Castro, a Colombian transracial adoptee and thought leader in adoption, is the founder of Adoption Mosaic, and she facilitates the discussions. I especially urge adoptive parents, whatever age your adopted child is, to take advantage of the opportunity that is Adoption Mosaic’s We The Experts series. 

Adoption Mosaic has several resources about adoption and suicide posted on their facebook page as resources for the September 12 panel.

I want to also note a few other resources, by and for adoptees. One is Stop Adoptee Suicide, an Facebook page that provides resources. Another is this post from Intercountry Adoptee Voices (ICAV), “Dealing With Adoptee Suicide.”

Another important event will be Adoptee Remembrance Day, October 30, 2020. “Adoptee Remembrance Day is a day to recognize all of our brothers & sisters who are adopted, that didn’t survive adoption. It’s also a day that signifies an acknowledgement of loss for adoptees because before we’re ever adopted we experience the biggest loss of our lives that’s continuously ignored by our world today. Over the years, the adoptee community has had multiple conversations on creating a day set aside for adoptees, but we’re ready to bring this to life as a way to raise awareness and honor those adoptees who are no longer with us. It’s important that we don’t forget them and after all we’ve lost, adoptees deserve a day just for them.” – Pamela Karanova. Pamela is the force behind Adoptees Connect, whose goal is to “focus on putting adoptee voices first by creating a safe and valuable adoptee-centric space, created by and for adoptees, where their voices can meet and be heard.”

In recent years, the number of adopted adults who are speaking out about adoption has increased greatly. Each one has an important perspective to share, and I am glad to see their wisdom being acknowledged. Discussions around mental health and suicide remain challenging, in and outside of adoption, and each of us feels a terrible sorrow at the news of an adoptee dying by suicide. September is Suicide Prevention Awareness Month. Let’s keep learning, together.

A crisis text line is available 24/7. That link will take you to text lines in other countries as well. In the US, you can talk to a counselor right away by texting HOME to 741741. If you or someone you know is in an emergency, in the US call The National Suicide Prevention Lifeline at 800-273-TALK (8255) or call 911 (or your country’s emergency number) immediately.

Adoptees and Suicide: Resources and Thoughts for Adoptive Parents (And Others)

As the White adoptive parent of 4 Black children (two born in the U.S., two born in Ethiopia; now adults in their 30’s), I have learned a great deal about both the joys and sorrows of adoption. One of the sorrows is that some adoptees struggle mightily with depression and trauma, no matter how deeply they are loved. This can become especially pronounced in adolescence. For those adoptees who are placed in abusive adoptive families, I can only imagine how horrific, lonely, and devastating their struggle must be.

Many adoptees do just fine. I don’t want to pathologize adoption or adoptees. That said, I urge all of us adoptive parents in particular to get a deeper understanding of suicide prevention, and to know that there are signs, treatments, and actions we can take.

I know of at least four Ethiopian adoptees who died by suicide. A (not adopted) Ethiopian 7th grader died by suicide a few years ago here in Washington; his parents are immigrants. They, their family, and their community have been devastated by the loss, as is, I am sure, any parent whose child has died by suicide. The parents and other family members need support and hope, which can come in many forms, as they try to recover and heal.

In my writing on adoption, I always try to promote the voices of adult adoptees, their lived experiences, their stories, and their professional expertise. 

Here are some examples of the voices we should be aware of and learn from, even as we are talking about the wrenching subject of suicide. There is a Facebook page Stop Adoptee Suicide set up by and for adoptees; there are some great resources listed on the page. There will be an Adoptee Remembrance Day October 30 organized by the adoptee leadership of Adoptees Connect. The page Intercountry Adoptee Memorials was created by Intercountry Adoptee Voices (ICAV) to honor those who adoptees who died by suicide or at the hands of their adoptive family.

Besides a willingness to read, and to make efforts to help families recover and heal, what can we do? 

Know that talking about suicide will not make someone suicidal. In fact, it can reduce the risk. Learn more here. That’s the site of the Anxiety and Depression Association of America.

Consider consulting with therapists who are adoptees. Here is a list, created by Dr. Chaitra Wirta-Leiker, of U.S. based adoptee-therapists. Dr. Wirta-Leiker is herself an adoptee and is also an adoptive parent.

Listen to adoptee-led discussions.

* One great podcast is Canada-based AdopteesOn; the Healing Series on suicide is thoughtful and powerful.

* Another excellent resource is AdoptedFeels, an Australia-based podcast hosted by two international adoptees, which had a 3-part series on adoption and suicide. Look here for the episodes.

 * Adapted podcasts (for Korean adoptees living in Korea and elsewhere) has had at least two episodes related to suicide.

* In September, Adoption Mosaic will hold a “We the Experts” program on suicide and adoption. The experts are adoptees. Non-adoptees (adoptive parents, partners, friends, support folx of adoptees) are invited to attend as well, and agree to be silent: to intentionally listen and learn. Stay tuned for more information soon.

 When looking for resources for your child, look for adoption-competent therapists. Ask what their training is in adoption and trauma. The Center for Adoption Support and Education has trained more than 1800 therapists in 18 states via a curriculum called Training for Adoption Competency. 

Keep these resources handy:

The National Suicide Prevention Lifeline phone number: 1-800-273-8255 (Note: in 2022, there will be a 3 digit number for folx to call, but that is not in service yet. Keep using the number provided above until then.)

The Lifeline page has a link for resources for youth who might be struggling.

The Crisis Text Line can be reached  by texting HOME 741741 in the U.S. and Canada. You can text 85258 in the UK, and 50808 in Ireland. It is available 24/7.

Here’s an article I wrote on Adoptees and Suicide Risk, for a publication of Adoptive Families Association of British Columbia.

I would be remiss if I did not mention the role that racism and bullying (including cyberbullying) can play in the lives and deaths of adoptees.

The parents of Kaleab Schmidt, an Ethiopian adoptee who died by suicide in 2018, are working hard to get their school system to face the racism and racial bullying that their son endured at school. Kaleab had many struggles: abuse in Ethiopia, the loss of both Ethiopian parents, deep trauma endured there as a little child. If you believe that adoption itself is a trauma (the separation from one’s mother, the deep grief of losing one’s only known family, and in the case of international adoption, losing one’s country, language, history, and heritage), then you understand that Kaleab experienced many traumas. Add to that the blatant racism and bullying he received as the only Black student at his school, and the fact that (from the reports) no genuine effort appears to have been made by the school to address the bullying or the racism, and your heart continues to break.  

Racial mirrors matter. Surround adoptees with people who look like them. Racial isolation is painful. 

  • The Adopted Life blog of Black transracial adoptee Angela Tucker has several posts, videos, and interviews about the impact of racism on adoptees.

“The Harris Narratives: An Introspective Study of a Transracial Adoptee by Susan Harris O’Connor, a Black transracial adoptee; “In Their Voices: Black Americans on Transracial Adoption” by Ronda M. Roorda, a Black transracial adoptee, and “Outsiders Within: Writing on Transracial Adoption,” edited by Jane Jeong Trenka, a Korean transracial adoptee, are just a few examples of books written by (as Adoption Mosaic says) the experts in adoption: adoptees.

For more general information: Here’s a British site about Racism and Racist Bullying. Here’s information from the U.S. National Education Association on How to respond to incidents of racism, bullying, and hate in schools. There is a link in the article to some additional resources. I realize most school are doing remote learning, but the information is still relevant. Given that many kids are home and spending lots more time on social media, online bullying exists as a real and ugly possibility. Here’s one resource about cyberbullying directed toward teens. Here’s another more general one for children and teens: Cyberbullying.

Kaleab Schmidt, who died at 13 years old, was a victim of cyberbullying, among other racist incidents, according to an inquest requested by his parents. “School officials testified there was allegedly a Snapchat group called ‘I Hate Kaleab Schmidt’ created by students at Greenall High School.”

Imagine if that were your child.

We all need to work harder at protecting children from racism and other forms of abuse.

If your White adoption social worker did not prepare you well for transracial adoption (and I feel safe in saying that was the case for many adoptive parents), there are plenty of adoptees who can provide incredible information and insights. Listen to them. If your adopted child is a victim of bullying in school or on the web, especially of adoption- or race-related bullying, advocate fiercely for them. I realize some bullying can be inevitable, but racial-based bullying can be horrifyingly intense for a transracially adopted child whose white parents haven’t experienced racism. When the children grow up and go out into the world, the racism can be gutting.

This has to stop. Hard work and hard conversations must happen. May Kaleab and all those who died too soon rest in peace and in power.

San Juan Islands, 2016 &Copy; Maureen McCauley

 

 

 

Runner’s World on Gabe Proctor: Ethiopian Adoptee, Championship Runner, Suicide

Gabe Proctor with his siblings Joanna and Samuel, in 2000 and in 2013

 

Gabe Proctor lived a short, loving, and complex life. Adopted from Ethiopia around age 10 after his mother died, he grew up in Vermont, went to college in Kansas and Colorado, became a championship runner, worked hard to support his family in Ethiopia, and died by suicide at this past May at age 27.

Sarah Lorge Butler has written a thoughtful profile of Gabe in Runner’s World: After Runner’s Suicide, Anguish and A Search for Answers. She spoke extensively with Gabe’s family, as well as his coaches and running partners. The sorrow and loss are palpable, as are the questions that can never be answered.

I am among those quoted in the article, and I have written many times about suicide and adoption. There are simply no clearcut answers. According to the Runner’s World article,  ” ‘In understanding mental health and adoption, researchers now think about a combination of risk factors,’ said Maria Kroupina, Ph.D., associate professor of pediatrics in the Department of Pediatrics at the University of Minnesota. Adoption itself is one risk factor. Others include prenatal stress to the child’s mother. Genetics, or family history of mental illness. Stress in early childhood, from scarcity of resources or abuse or neglect. The loss of a parent.

It’s a process for adopted children and the adults in their lives to navigate these issues from the past. ‘Children and young adults need ongoing help,’ she said. “No health care providers would put a child with asthma or a heart condition in a family and say, ‘Please figure it out.'”

Gabe’s family remembers him as a talented, thoughtful, loving son and brother. His coaches remember him as incredibly hard-working and determined to push himself to achieve his best.

From the article: “During his best year in 2014, he had the fifth-fastest half marathon time in the U.S., but his heart is what people remember. Proctor especially looked out for those who had trouble fitting in or seemed burdened in other ways.”

Like many adoptees, especially those adopted at older ages and with siblings, Gabe never forgot his Ethiopian connections. “Gabe made four trips to Ethiopia over the years, and as his running career progressed, he realized his talent could help his relatives in Ethiopia. As a professional, his singular goal was to use his running to support his family. Gabe had a shoe deal from Asics, and he lived simply, never owning a car, for example. Samuel says before Gabe’s death, his brother had built houses that his Ethiopian family could use for rental income.”

Gabe Proctor in Ethiopia, July 2006

I give credit to his adoptive parents, Caryl and Jim Proctor, for sharing their son’s story. They and others who loved Gabe urge “family and friends of people who are struggling with depression to confront it head on.” Jim Proctor “implores parents to pay attention: ‘Accept that the warning signs are warning signs,’ he said…’Don’t ignore it.'”

There are many resources available to help with suicide prevention; I have listed many of them in this post: Resources Around Trauma and Suicide in Adoption. Whether or not adoption is involved, we should all be aware of resources for depression, anxiety, and suicide ideation. Yes, these are tough topics. And they need to see the light of day, because that’s the only way we can help each other.

‘Gabe was adamant about this,’ his younger brother, Samuel, said. ‘Always treat people the absolute best you can, because you don’t know what they’re dealing with.’

 

 

The Suicide Prevention Lifeline, available 24/7, is 800-273-8255. You can also text 741741, the crisis text line available 24/7, and text with a trained crisis counselor.

Another Adoptee Suicide: Unspeakable Pain

This week I heard about the death by suicide of a young Ethiopian adoptee, reported by his US family to be about 12 years old, living in America since 2013.

My heart aches for everyone–for the boy, for his family in Ethiopia and here in the US, for all of us.

Adoption can be full of great joy, many gains, and lots of love. It can also have deep layers of grief, loss, and trauma. I do not know the circumstances of this most recent death. I do know that adoptees attempt suicide at higher rates than non-adoptees, and do so at alarmingly young ages. One source of information is Pediatrics: “Risks of Suicide Attempt in Adopted and Non-Adopted Offspring.”

My post “Suicide and Adoption: We Need To Stop Whispering” has had thousands of views in the last few days. Please take a look also at my post “Resources Around Trauma and Suicide in Adoption.” There is lots of information there about suicide prevention, depression and PTSD resources, strategies to talk about suicide awareness, and more.

Save this number somewhere: 1-800-273-8255, available 24/7, 365 days a year. Their website is here: Suicide Prevention Lifeline.

I am saddened by how many people I know in the adoption community who have considered suicide and who have attempted it. Almost everyone in the adoption community knows personally of adoptees who have died by suicide.

Let’s keep talking about the realities of depression and trauma, and encouraging others to talk about their loss and fears, especially around adoption, without judgement or dismissal. It’s tough stuff. We have to do it.

There is a GoFundMe account for the family of the young man who died by suicide. Since I’ve been asked about it several times, here is the link.

May everyone find compassion and healing.

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Candles at a Vancouver BC Church. © Maureen McCauley Evans