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Studies
- Its version 1’s most important claim’s importance 62 out of 100: meaningful importance, under edition 3 of the rubric
Whether antidepressants raise suicidal behaviour in adults is disputed: the FDA's pooled trials found no increase past young adulthood, and re-analyses of approval data on newer drugs found more suicide attempts. We tested this in the serious adverse events placebo-controlled trials posted to ClinicalTrials.gov, under a registered plan. This version corrects the first, which counted a participant listed under two of an outcome's terms twice. With the posted tables and the trials' public reports, serious suicidal behaviour affected 43 adults on antidepressants and 17 to 18 on placebo (risk ratio 1.86 to 1.96): nominally significant, but at the least favourable count not after the registered correction for two endpoints. Without the trials the re-analyses also used, the excess is similar but less certain. Pediatric trials showed more serious suicidality on antidepressants, as the FDA found. These data lean toward more suicidal behaviour in adults but cannot establish it.
- Published, Reproduced: Of the 932 interventional studies naming an antidepressant with results posted on ClinicalTrials.gov on 2026-10-13, 393 randomized trials compare an antidepressant with placebo in 413 comparisons with 99,730 participants at risk in their adverse-event tables. In the 306 adult trials that randomized participants from the start (71,643 participants), nausea is more frequent on antidepressants in the 207 comparisons whose non-serious tables list it (57,580 participants; Mantel-Haenszel risk ratio 2.08, 95% CI 1.98 to 2.18), as these drugs' known side effects predict.
- Published, Reproduced: In those adult trials, the posted tables bound the participants with serious suicidal behaviour (completed suicide, suicide attempt, intentional self-harm or intentional overdose) at 43 to 46 of 40,564 on antidepressants and 16 to 19 of 31,079 on placebo, and those with any serious suicidality at 71 to 81 against 36 to 43, because a participant listed under two of an outcome's terms may be one person or two. Across every count the tables allow, the Mantel-Haenszel risk ratio is 1.76 to 2.20 for serious suicidal behaviour (p 0.0097 to 0.0502) and 1.29 to 1.73 for any serious suicidality (p 0.0078 to 0.20). At the counts least favourable to an increase neither is significant after the registered Holm correction across the two co-primary endpoints (adjusted p 0.10 and 0.20); at the most favourable both are (0.016 and 0.016).
- Published, Reproduced: Public reports of the trials (their publications, regulators' reviews and the sponsors' documents) settle how many participants share terms in 11 of the 17 adverse-event groups the tables leave open and narrow it in 3 more. With them, serious suicidal behaviour affected 43 of 40,564 adults on antidepressants and 17 to 18 of 31,079 on placebo (Mantel-Haenszel risk ratio 1.86 to 1.96; p 0.025 to 0.036), and any serious suicidality 72 to 77 against 40 to 41 (1.38 to 1.51; p 0.041 to 0.12). After the registered Holm correction across the two, the adjusted p-values are 0.071 and 0.12 at the counts least favourable to an increase and 0.0496 for both at the most favourable.
- Its version 2’s most important claim’s importance 59 out of 100: meaningful importance, under edition 3 of the rubric
Many papers relate one National Health and Nutrition Examination Survey (NHANES) variable to one condition without correcting for multiple testing (Suchak et al. (2025)). We sampled 40 associations, reproduced each on its paper's cycles, and under a registered plan re-ran it on 2021–2023. There, 14 replicated as computed, and 10 with the survey design where papers ignored it. Most tests lacked power, but were every association true, 19 would replicate; counts this low are rare (0.047, or 0.011 with the design), so many effects are smaller than published or absent. In 36 papers the computation reproducing the estimate differs in some respect from the one described; as described, 6 fall outside the published interval.
- Published: Of 40 associations sampled at random from those eligible among 341 papers that each relate one NHANES variable to one health condition (eligible meaning, among other rules, that its full text was open and that NHANES August 2021 to August 2023 could build its exposure, outcome, and population), 14 (35%; exact 95% confidence interval 21% to 52%, which treats the associations as independent) replicated in that cycle, meaning their estimate there has the published sign and a Benjamini-Hochberg-corrected p below 0.05, with each analysis computed as its paper's was. Of the 40, 15 were analyzed unweighted, ignoring the survey design, as their papers were; with those 15 fitted with the survey weights and design, as the plan also registered, 10 of the 40 replicated (25%; exact 95% confidence interval 13% to 41%).
- Published: At an unadjusted two-sided alpha of 0.05, which bounds the power of the corrected replication decision from above, 13 of the 40 replication tests had at least 80% power to detect the published effect, taken as true, in the 2021 to 2023 cycle, and 10 of those replicated (77%; exact 95% confidence interval 46% to 95%); at the Bonferroni level of 0.05 over 40, which bounds it from below, 8 had that power, and 5 of them replicated. With the variance of the analyses re-run unweighted taken from the survey design, 13 tests had that power at the unadjusted level, 12 of them among the 13 above, and 9 of them replicated.
- Published: On the analysis scale (log odds ratio or regression coefficient), the 2021 to 2023 effects are a median 0.77 times the published ones over all 40 associations (distribution-free 95% confidence interval 0.32 to 1.05) and 0.91 times (0.32 to 1.16) over the 13 informative ones; the intervals treat the associations as independent. The median is 0.53 over the 15 analyses re-run unweighted and 0.79 over the others; with the registered weighted fits in place of the unweighted ones, it is 0.85 (0.35 to 1.08).
- Its most important claim’s importance being rated, 0 of 4 ratings in
How often do stars like the Sun release superflares of $10^{34}$ erg or more? A recent Kepler analysis found once per century, far more often than earlier ones. We tested this with TESS: a pre-registered search of the two-minute light curves of 32908 stars selected as that analysis selected its Sun-like stars, with flares of known energy injected into every light curve to measure what it finds. It counted 78 superflares where the once-per-century rate predicts 23.4: 3.33 times that rate (interval 2.63 to 4.15), one per 33 years per star, far above the earlier rates. Every planned subset and sensitivity analysis gives a ratio above one. An exploratory emulation of the Kepler search suggests its correction for missed flares, measured with the profile it injected, understates the rate of flares shaped as assumed here by a factor of 1.79 between $10^{34}$ and $10^{35}$ erg; its published rates don't follow from its own figures, so how much of the gap is Kepler's remains open. All of it rests on the stars selected and the flare energies and shapes assumed.
- Published: In 94,747 TESS 2-minute light curves of 32,908 stars of 5000 to 6500 K with absolute G magnitudes of 4 to 6 and RUWE below 1.4 (5,605 star-years), the pre-registered search, with its SAP test corrected after registration to require the uncorrected flux to rise, counted 78 flares of bolometric energy 10^34 erg or more where the rate Vasilyev et al. (2024) measured with Kepler predicts 23.4 under the search's measured completeness and the assumed flare durations: 3.33 times that rate (95% CI 2.63 to 4.15), about once per 33 years per star; the registered code counted 79 (3.37 times, 2.67 to 4.20).
- Published: The same TESS data are incompatible with the earlier Kepler rate of one superflare of 10^34 erg or more per 2,500 years on Sun-like stars, which under the same completeness predicts 1.04 counted flares where 78 were found (Poisson probability below 10^-100).
- Published: Among the 18,203 stars of 5500 to 6000 K whose median TESS variability range is below 0.3%, the 50 counted superflares are 3.63 times (95% CI 2.70 to 4.79) the 13.8 that the rate Vasilyev et al. (2024) give for their Sun-like stars predicts.