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Many clinicians struggle with determining how to treat depressed children and adolescents at risk for suicide. In 2006, concerns that antidepressants might increase suicidality in these patients continued to complicate clinical decisions.
To understand the recent controversies, it may be useful to examine the history of research in this area, starting in the 1990s. Researchers found high prevalence of suicidal ideation, completed suicides, and serious problems into adulthood among children and adolescents with depressive disorders (Journal Watch Psychiatry Jan 23 2001; Br J Psychiatry 2001 Sep; 179:218-23; Journal Watch Psychiatry Nov 1 1999; Journal Watch Psychiatry Jul 1 1999; J Am Acad Child Adolesc Psychiatry 1993 Jan; 32:8-20; J Am Acad…