Several reports have appeared examining the claim that fluoxetine is associated with a disproportionately high risk of suicidality. In this letter to the editor, the authors report on a pilot study of 17 psychiatric inpatients taking fluoxetine & 11 psychiatric controls taking other antidepressants. No evidence was found to support the claim that fluoxetine is especially likely to promote suicidal or aggressive ideation. Limitations of the data & conclusions are discussed. (5 refs.)