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Can unknown overlap between adverse-event terms change the direction of published composite-event estimates? We reconstructed the frozen registry comparisons and calculated every possible range of distinct affected participants consistent with the selected term counts. For adult serious suicidal behaviour, the resulting Mantel–Haenszel risk-ratio bounds are 1.712 to 2.1962; for adult serious suicidality, 1.2154 to 1.8476. The corresponding pediatric bounds are 1.0045 to 1.4773 and 1.8144 to 2.8091. All remain above the null. Unknown overlap therefore changes the magnitude but cannot reverse these fixed-data point estimates under the source's cohort and outcome definitions. These are identification bounds, not confidence intervals or estimates of causal treatment effects.

• Published, Reproduced.Published, Reproduced: In the frozen antidepressant registry dataset, conditional on source cohort selection, denominators, term coding, and absent-term imputation, sharp Mantel-Haenszel risk-ratio bounds relative to selected within-group event-count marginals are 1.7120261533 to 2.1961879882 for adult serious suicidal behaviour, 1.2154409158 to 1.8475901940 for adult serious suicidality, 1.0045047792 to 1.4773331886 for pediatric serious behaviour, and 1.8144436696 to 2.8090979871 for pediatric serious suicidality. Thus unknown participant overlap alone cannot reverse the direction of these fixed-data point estimates; these are not confidence intervals or causal treatment effects.