My colleagues and I reported relevant data some time ago that contrasts with these findings (2). We examined suicide rates in a group of 1,593 patients who had been hospitalized for unipolar and bipolar mood disorders. Subjects were followed up for 14 years. We concluded that psychotic and nonpsychotic subjects had similar risks for suicide and that among patients with a mood disorder, psychosis did not predispose to suicide. Dr. Vythilingam and co-workers did not specifically address the issue of suicide. We also reported that for a subset of 423 subjects given the DST, a positive result was significantly associated with the presence of delusions (3). A positive DST at baseline was not associated with subsequent suicide.