Can 10mg paxil (paroxetine) cause suicidal thoughts?

Yes: Anytime you start a medication like paxil, (paroxetine) which is a selective serotonin reuptake inhibitor, suicidal thoughts can become prevalent or even overwhelming. If this becomes the case with you, you should confide your feelings with someone you trust, and immediately get in touch with whoever prescribed the medication. If you have no one to turn to, you should go to the emergency department.

Possibly.: One study showed an increased suicide risk with paxil (paroxetine). It's unclear exactly why this is. One theory is that some people in deep depression lack volition to do much of anything. If there's slight improvement in the depression, the person may act on those suicidal thoughts they previously had no volition to act on. Bottom line, talk with your doctor right away if you're having suicidal thoughts!