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g., previous suicidal behavior) (β=0.59, p=.01, R2= 0.41). Our study was limited by three factors. First, the generalizability of our study was limited as the sample included only outpatients. Next, the analysis was cross-sectional and does not allow for causal interpretation. Lastly, our study lacked information regarding the content and mood congruency of participants' psychosis. While a small proportion of BD outpatients had current symptoms of psychosis during their depressive episode, those who did were more likely to endorse active