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In 30 pediatric trials randomized from the start (7,094 participants), any serious suicidality affected 38 of 4,547 participants on antidepressants and 8 of 2,547 on placebo (risk ratio 2.41, 95% CI 1.13 to 5.16; p = 0.023; Benjamini-Hochberg q = 0.076 across the secondary analyses), an interval containing the FDA's 2006 pediatric estimate of 1.95, while serious suicidal behaviour alone was 14 against 5 (1.17, 0.43 to 3.22). · sciencejournal.ai