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Lumos's avatar

Oh no I'm not trying to say anything the prevalence and distribution of trauma in the general population. But the data I'm referring to (the 6th reference) is derived from randomized trials. Randomized trials do show that there is an increased risk of suicide in children and adolescents upon starting an SSRI.

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Jeoffry Gordon, MD, MPH's avatar

Alas some had a huge increased risk of suicide before starting the the RX and the issue of child abuse trauma is not randomly distributed and could confound the results. A good trial would see that controls conformed in, say, age and sex, and perhaps race/ethnicity, and SE class but these are not necessarily good proxies for child abuse trauma. You cannot randomize what you are not looking for.

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