Thus, 18% of adopted children ages 12 to 17 have ever been diagnosed with depression compared with 7% of children in the general population. No particular differences in proportions of children with depression were noted between foster care, domestic, and international adoptees. Researchers and practitioners probably should remain cognizant of the small increased risk of suicidal ideation for certain types of adoptees. In 2010 alone, more than 50,000 children were adopted from public foster care, which does not include the many international, independent, and private adoptions (Vandivere et al., 2009). A 1% to 3% increased rate of suicidal ideation, accumulated across all later adopted youth over a period of years, translates into thousands of individuals with suicidal inclinations. The many adoptive parents whose adopted children experience such thoughts almost certainly would not want this serious matter dismissed as a “small” effect size. Adoption advocacy groups might also take cognizance of these results in efforts to increase support for post-adoption services.