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In addition, residual confounding may exist despite our best efforts to control for cigarette exposure

While the 2004 and 2006 warnings regarding increased suicidal ideation in children and young adults (under 25) remain, long-term data published through 2024 suggests that these warnings may have led to an unintended decline in depression treatment, which some studies correlate with an increase in suicide deaths among adolescents

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In contrast, in follow-ups of two prior studies (Hops et al