Still other studies have used large databases to carry out naturalistic studies of possible associations between antidepressant use and suicidality.50 — 53 In the only 1 of these studies that focused exclusively on youth, Valuck et al50 conducted a propensity -
adjusted retrospective cohort study to examine links between antidepressant treatment and suicide attempts in depressed adolescents (aged 12 — 18) by using a community sample of managed care enrollees.