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).”

“Lions Roaring” Anthology at Conference of Black German Research and History Association

Kassaye Berhanu-MacDonald and I will be speaking tomorrow about “Lions Roaring Far From Home: An Anthology By Ethiopian Adoptees,” at the free online conference of the Black German Research and History Association (BGHRA). Kassaye and I are two of three co-editors of “Lions Roaring;” Aselefech Evans is also an editor.

The “Lions Roaring” panel will take place at 4:45pm est tomorrow Thursday February 23. Please register here to get the Zoom link for the free online conference.

The themes of the BGHRA conference is “Art as Resistance,” and I encourage you to attend as many workshops and keynotes as you can. Kassaye and I are thrilled to have been asked to talk about the book, its origins, its intent, and its powerful stories.

Several of our writers, all Ethiopian adoptees, are also Europeans, raised and/or living in Sweden, France, and the Netherlands. There are, of course, many Ethiopian adoptees in Germany, Norway, Italy, Spain, the UK, and elsewhere in Europe.

Our writers also were raised and/or now live in the US, Australia, Canada, and Ethiopia.

We appreciate BGHRA inviting us to talk about the book, about the lived experiences of Ethiopian adoptees raised around the globe, and about how the anthology itself is an act of resistance.

And we look forward to a lively conversation tomorrow. Join us!

An Adoptive Parents’ Guide to “Lions Roaring Far From Home”

We have been thrilled and honored by the response to our new book, “Lions Roaring Far From Home: An Anthology by Ethiopian Adoptees.” It has been selling well, and is at the top of Amazon Hot New Releases in Adoption.

Our hope is that the primary readers will be Ethiopian and other adoptees, especially international and transracial adoptees. From the book’s Introduction: “We want to draw attention to the particularities of being a Black adoptee from Africa, placed with white families.”

We also are hopeful that adoptive parents will read the book, especially parents of Ethiopian adoptees, and also of other international, transracial adoptees.

Front cover of the book: Painting by Ethiopian artist Nahosenay Negussie of an Ethiopian woman standing proudly next to a roaring lion.
Image description: The front cover of “Lions Roaring” book, a painting of an Ethiopian woman next to a roaring lion.

Of course, we are hopeful that the Ethiopian community, including the diaspora, will read the book, as well as family members of adoptees, along with therapists, adoption agency staff, adoption-related organizations, social workers, undergrad and graduate students, book clubs, anyone interested in reading a great collection of powerful essays. If you know Oprah, Angelina, or Marcus, feel free to share the book with them, and please connect the editors with them also. You can reach the editors and writers at the book’s website: lionsroaringbook.com.

Here are a few questions that adoptive parents have asked me about the book.

Is it a positive or negative view of adoption?

It is a “real” view of adoption. Each of the 33 writers has a different perspective as they speak their truths. The book shows the range of attitudes and experiences. It also shows a range of views based on ages, since the writers are 8 to over 50 years old. Some essays note the adoptees’ Christian faith, and call adoption a blessing. There is discussion in the book of suicide and abuse. Some essays recall experiences in Ethiopia prior to being adopted. Some writers talk about painful childhood events in Ethiopia and in their adoptive country. Some talk about ways they are giving back to Ethiopia. There is mention of optimism, love of family, and resilience. Some essays are matter of fact; some are deeply emotional.

I urge adoptive parents of children of all ages to read the book. You can then talk with your children about it, in an age-appropriate way, whether they are 6 or 38 years old. It could open up a lot of new conversations.

Is the book child-friendly?

It is not meant for young children. The book reflects a wide range of lived experiences: good, bad, sad, encouraging, hopeful, angry, grief-filled, all of it. Whatever your child’s age, they might have had or will have some of the feelings in the book.

Are there essays by adoptees adopted as infants, or who have very little information about their families of origin?

Yes. The writers were adopted at a variety of ages, some with and some without their siblings. One co-editor was adopted as an infant to Canada, and the other was adopted at 6 years old with her twin sister to the US. A Swedish adoptee, adopted at one year old and now in his 50’s, wrote an essay about his DNA search and some unexpected connections. Most of the writers have little information about their Ethiopian families regardless of age at adoption; some have strong memories. Some have searched, some have reunited. Many have not done either, for a variety of reasons.

Here are some questions I haven’t been asked by adoptive parents.

Will I be uncomfortable or unsettled if I read this book?

At times, probably. If you are not an adopted person, you may well be startled or saddened by some of the insights that the writers offer. Some of the essays may affirm your views on adoption. Some may rattle them. That’s a good thing.

Can I just give the book to my teenage or adult son/daughter/child, without actually reading it myself?

Yes. And don’t do that. We adoptive parents must keep doing our work to understand what our kids are going through, to do so with open hearts and open eyes, and to learn how ideas and attitudes can change over time.

Can I give this book to friends, my non-adopted children, other adoptive parents, my Ethiopian friends, my adoption agency, my therapist, my children’s therapist, my parents, my siblings? What about folks with no close connection to adoption?

Yes! Please share the book and information about it with those who are tightly connected to adoption, those who have the rainbows-and-unicorns view, those who might be able to bring about changes in adoption policy: everyone. Thank you for doing this.

And again, thank you to every one of our writers, and to all those who have supported the book.

“Lions Roaring Far From Home: An Anthology by Ethiopian Adoptees” Now Available on Amazon!

I could not be more thrilled to announce that “Lions Roaring Far From Home: An Anthology by Ethiopian Adoptees” has been published. You can purchase it (Kindle or paperback) on Amazon.

It is the first ever anthology by Ethiopian adoptees. The 33 writers hail from six countries, and they range in age from 8 to over 50. The essays and poems present a range of views on adoption, and each one is insightful.

Book cover with painting of Ethiopian woman standing proudly next to a roaring lion
Cover art Copyright Nahosenay Negussie

All of the writers are Ethiopian adoptees. They were raised in the U.S., Canada, France, Sweden, the Netherlands, and Australia. Two currently live in Ethiopia.

The co-editors are Aselefech Evans, an American Ethiopian adoptee, Kassaye Berhanu-MacDonald, a Canadian Ethiopian adoptee; I am also a co-editor, and am the adoptive mother of Ethiopian twin daughters as well as two sons born in the U.S.

Deep gratitude to each of the amazing writers for this groundbreaking book.

Facebook Page of Our “Lions Roaring” Anthology by Ethiopian Adoptees

I am happy to invite you to “Like” and follow the new Facebook page for our soon-to-be published anthology, “Lions Roaring Far From Home.” The link is here. Thank you!

The anthology, the first of its kind, has essays and poems from 32 Ethiopian adoptees who are of different ages and who were raised in different countries. The cover art (shared below; reveal here) is by Ethiopian artist Nahosenay Negussie.

On the Facebook page, we will provide info about pre-order and publication as soon as it is available. We will also be posting excerpts from the book, pre-publication reviews by some amazing folks, and info about upcoming “Meet the Writers” Zooms and other events.

Thanks so much for visiting and Liking the Facebook page! Please share with others. We really appreciate the support.

Two Opportunities for Adoptees to Speak Out: NAAM

This is day 11 of National Adoption Awareness Month, so this is my daily post to amplify the voices of adoptees.

Here are two opportunities for adult adoptees to be heard at large forums. Please share with internationional and transracial adult adoptees.

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The first invitation is from the U.S. State Department for international adoptees. It is via an email subscription list called Adoption Notices. I have had trouble finding a link to the subscription list sign-up on the State Department website, and have sent an email to the adoption office at State asking for a clean link; they get a lot of email, so it could be a while. The link to International Adoption at the U.S. State Department is here. You can email the Office of Children’s Issues at Adoption@state.gov.

November 10, 2021 

Event:     Interactive Discussion Invitation:  What Do Adult Adoptees Want to Hear from the Department of State on Intercountry Adoption?
Date:       November 30, 2021
Time:      2:30 – 4:00 p.m. EST
RSVP:      Adoption@state.gov (NLT November 28, 2021) – Response should include your name, email address, and if willing to share, the country from which you were adopted. Participation details will be sent by email on November 29, in the afternoon, to those who RSVP’d. 

The Office of Children’s Issues, U.S. Department of State, invites interested adult U.S. intercountry adoptees to an interactive discussion with Marisa Light, Chief of the Adoption Oversight Division, on Tuesday, November 30, 2021, 2:30 – 4:00 p.m. EST.

Adult adoptee voices and perspectives are valued and critical to our everyday work on intercountry adoption.  We recognize the expertise that comes from lived experience and want to hear from you.  Last year during our November town hall with adoptees, we ​asked participants to tell us what they wanted us to know about their experience with adoption.  We heard your stories and perspectives and valued the opportunity to learn from you.  Given the tremendous turn out and desire to give everyone a chance to share who wanted to, we actively listened but weren’t able to engage in conversation about these experiences. This year, we want to ​provide you with the opportunity to ask questions and have more of a dialogue about the issues that are important to you. 

As the U.S. Central Authority for the Hague Convention on the Protection of Children and Co-operation on Intercountry Adoption, the Department implements safeguards to protect children and families and maintain the viability of intercountry adoption for children in need of permanency.  We uphold the principles of the Convention – that children “should grow up in a family environment, in an atmosphere of happiness, love and understanding;” that priority should be given “to enable the child to remain in the care of his or her family of origin;” that intercountry adoption should be considered only when “a suitable family cannot be found in [the child’s] State of origin;” and that measures should be taken “to ensure that intercountry adoptions are made in the best interests of the child and with respect for his or her fundamental rights, and to prevent the abduction, the sale of, or traffic in children.”  These principles inform our work and are reflected in our regulation and oversight of accredited adoption service providers. We’re happy to talk more about what this means in practical terms on a day to day basis, how we collaborate with other governments and other U.S. government agencies, current trends in intercountry adoption, and anything else you may be wondering about.

We appreciate wide dissemination of this invitation to internationally adopted persons who may be interested in participating and learning more about what we do. This meeting will take place virtually and will not be recorded.

Sincerely,

Office of Children’s Issues
Adoption Oversight Division
U.S. Department of State

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The second invitation, for transracial, multiracial, and/or international adoptees, is from NPR’s All Things Considered, via Facebook.

Adoptees should always be the first considered for stories or forums on adoption. Again, please share this with adult adoptees who may be interested.

“Colin in Black and White:” NAAM

This is day 9 of National Adoption Awareness Month, so this is my daily post to amplify the voices of adoptees.

This series should be mandatory viewing for prospective adoptive parents. Mandatory viewing for adoption agency staff, therapists, and counselors. Everyone should watch “Colin in Black and White,” now on Netflix, but those folks should be among the first in line. Adoption is not the main focus of the six episodes, and Colin Kaepernick arguably is so well-known that he does not need his voice elevated. Still, the story of adoptee Colin Kaepernick, Black/biracial son of white adoptive parents, will resonate with many adoptees. I hope the show generates a lot of conversations about transracial adoption and the need for racial mirrors and mentors. Perhaps it will also elevate the voices of other adoptees as to the genuine work that needs tp be done in the adoption community.

Ava DuVernay is a co-creator, director, and producer of the series.

Quarterback Colin Kaepernick achieved fame most notoriously for kneeling during the national anthem to protest racism in America. White America punished him severely for that, in a knee-jerk reaction that was not rooted in understanding Colin’s rationale (American history, personal trauma, willingness to take a stand against injustice–a great American tradition) behind the decision to kneel.

This new memoir/documentary/re-creation of Colin’s coming-of-age looks not only at Colin’s high school years, but also at the crushing, cruel realities of racism in America. He got his hair braided (and his head hurt a lot the first time), and then had to cut it in acquiescence to white people’s standards, those of his white adoptive parents and his coaches. Allen Iverson features prominently in that part of the film and his life. Interactions between Colin and Black people in real life were tentative, comforting, confusing, and soul-healing.

That hair.

Colin’s adoptive white parents came across to me the way a lot of white adoptive parents (that includes me) do: well-intentioned, loving, and missing a strong racial lens. They just didn’t get what it meant that Colin was Black, and would be perceived by the world as a Black boy and then man. Nice people, encased in white privilege. Totally unable to see the racism and micro aggressions that Colin was subjected to. It is painful to watch, and it happens all the time in transracial adoption.

The show also contains a Black history primer, including a re-enactment of the career of the great artist Romare Bearden, who was also a star baseball player. Colin narrates and curates a range of information and history, and integrates these sequences with his own story. I’d love to see another season where Kaepernick weighs in more viscerally on adoption, as well as about his decision to kneel during the national anthem. In any case, this is a thought-provoking show to watch, for all of us in the adoption community, and for anyone who wants to learn more about one of America’s most intriguing and talented sports icons.

Inter Country Adoptee Voices: NAAM

This is day 5 of National Adoption Awareness Month, so this is my daily post to amplify the voices of adoptees.

Inter Country Adoptee Voices (ICAV) was created by and for adoptees all around the world. Based in Australia, ICAV is adoptee-led and adoptee-focused. The site includes an impressive list of adoptee-led groups in multiple countries, as well as groups focused specifically on adoptees from various countries/continents (Bangladesh to Vietnam).

ICAV also maintains a list of adoptee academics with links to their research, as well as a Memorial page for adoptees who have died by suicide or at the hands of their adoptive parents. There are links to blog posts about mental health and other issues. There is a substantive list of post-adoption services provided by adoptees around the globe.

ICAV has a public Facebook page, as well as a private Facebook group for intercountry and transracial adoptees.

I have known Lynelle Long, ICAV’s founder, for a while, and I know she is rightly proud of ICAV’s recent Educational Video Resource Project. I’ve watched several of the videos, which feature a variety of Australian adult intercountry adoptees speaking out about trauma, racism, and other adoption issues. Professionals such as doctors, teachers, and counsellors/therapists are among the intended audience; please share this resource with them.That said, all of us in the adoption community can benefit from the videos.

Therapists Who Are Adoptees: NAAM

This is day 4 of National Adoption Awareness Month, so this is my daily post to amplify the voices of adoptees.

All of us humans may benefit from therapy at some point in our lives. Adoptees show up in therapy at higher rates than non-adopted people.

The statistics bear this out. According to the American Psychological Association, “Higher proportions of adopted persons attend therapy (17.71%) than nonadopted persons (8.76%; Miller et al., 2000), and some adopted individuals may struggle with certain issues as adults, such as loss and grief particularly during milestone events like marriage and childbirth (Nydam, 2007; Silverstein & Kaplan 1988); building and maintaining close relationships (Corder, 2012); distress over lack of genetic information; and issues with identity development (Child Welfare Information Gateway, 2004).” There are several other studies listed at the APA link related to “clinical considerations for psychologists who see adult patients who were adopted during their childhood.”

Many adoptees and adoptive parents seek out therapists who are also adoptees. Dr. Chaitra Wirta-Leiker, a psychologist who is also an adoptee and adoptive parent, curates an incredibly valuable list of U.S.-based therapists who are also adoptees.

Anyone connected with adoption may want to find a therapist who, at a minimum, is adoption competent. The notion of “adoption competent” can be complex. It should be a baseline standard for anyone who works clinically with adopted people. The Center for Adoption Support and Education defines it this way: “An adoption competent mental health professional understands the nature of adoption as a form of family formation and the different types of adoption; the clinical issues that are associated with separation and loss and attachment; the common developmental challenges in the experience of adoption; and the characteristics and skills that make adoptive families successful.”

There is more to their definition; this link goes to C.A.S.E.’s Module on training adoption-competent therapists. (Transparency: Years ago, I worked for C.A.S.E., writing grants and occasionally participating on workshop panels. )

Therapists who work with adoptees should also be trauma-informed, another complex qualification. Many people don’t see the link between adoption and trauma, and that can be true for therapists as well. And “trauma-informed” can have many definitions, especially in relation to adoption.

Two final notes: One–if you’re an adoptive parent and your child is going to therapy, you should also go to therapy to learn what your child is going through, what they are learning in terms of strategies from the therapist, how you may inadvertently be contributing to the trauma, and how you can best support your child.

Two—This upcoming conference is the first of its kind, and will be amazing. “Expert Voices in Adoption” will take place online November 20. It will be “the only National Adoption Awareness Month event solely featuring the voices of adoptee clinicians.” The program will be hosted by Dr. Wirta-Leiker, mentioned above. I have registered, and I am sure many other folks have and will as well. It is an incredible opportunity for all of us.

Adult Adoptees Speak Out on Suicide Prevention

On October 26, 5pm pdt US/8pm est US, United Suicide Survivors International will host a free webinar “Adoption and Suicide Prevention: Adult Adoptees Speak Out.” The panelists are amazing: Jessenia Arias, Kevin Barhydt, Lynelle Long, and Amanda Transue-Woolston. I have the honor of facilitating this conversation.

These four panelists have a wide range of experience and wisdom. Each has deep skills, whether as an author, a therapist, an online advocate for adoptees, a same race adoptee, a transracial adoptee, an international adoptee. All have the lived expertise of having been adopted.

And each one has agreed to share their stories and insights related to suicide and suicidal ideation. This is a very tough topic to speak and to hear about. I am deeply grateful that they will share their hard-earned wisdom, because the rest of us are needing and ready to learn.

Please join us for this important webinar, and please feel free to share the USSI registration link.

https://us02web.zoom.us/webinar/register/WN__JIIYzloQ2G-FaGb4uf4oQ