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In 131 adult trials of depressive disorders randomized from the start, serious suicidal behaviour affected 37 of 21,105 participants on antidepressants and 12 of 13,240 on placebo (risk ratio 2.19, 95% CI 1.10 to 4.36; p = 0.026; q = 0.076), while across all adult trials serious suicidal ideation alone was 36 against 24 (1.18, 0.69 to 2.01) and completed suicide 5 against 2, too few to test. · sciencejournal.ai