Dr Chengappa and Colleagues Reply

Article Abstract †‹†‹†‹ Because this piece does not have an abstract, we have provided for your benefit the first 3 sentences of the full text. To the Editor: First, as reported by Dr Tofler, the death of a young woman (32 years) with bipolar illness by suicide is tragic. Second, we would like to address some of the queries raised about our study by Dr Tofler. Stability of the bipolar illness course for subjects participating in the study was defined by total scores of ≤ 8 on the Young Mania and Montgomery-Asberg Depression Rating Scales, maintenance medications for bipolar illness being used in stable doses (≥ 8 weeks), and no recent (≤ 6 months) hospitalization, emergency room visit, suicidal attempt, or aggressive or violent acts.†‹