Moderators of the association between depressive, manic, and mixed mood symptoms and suicidal ideation and behavior: An analysis of the National Network of Depression Centers Mood Outcomes Program

•Depressive symptoms are strongly associated with concomitant suicidal ideation and behavior•Mixed symptoms convey no greater risk for suicidal ideation/behavior than depressive symptoms alone•Mood disorder polarity did not appear to moderate the risk associated with mood state•Mood disorder polarity, sex, and race did not appear to moderate the relationships•Older individuals were less likely to have suicidal ideation/behavior with manic symptoms•Any protective effect of manic symptoms in older adults disappears with concurrent depressive symptoms