Siamanto fell ill in 1904, coming down with a case of pneumonia. He was treated at a hospital in Geneva and eventually fully recovered. For the next 4 years, he lived in various European cities such as Paris, Zurich, and Geneva. In 1908, along with many other Armenians, he returned to Constantinople after the proclamation of the Ottoman Constitution. However, in 1909, the Ottoman government made it clear that they were not safe by perpetrating the Adana massacre. Siamanto was once again deeply affected by the bloodshed. These events led him to write his famous "Bloody News from my Friend" (Armenian: Կարմիր լուրեր բարեկամէս).