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To treat suicidality and impulsivity in bipolar disorders, inclusive, effective and evidence-based psychological interventions should be developed
  1. Akhtar Ebrahimi Ghassemi
  1. Independent Researcher, Rochester, New York, USA
  1. Correspondence to Dr Akhtar Ebrahimi Ghassemi, Independent Researcher, Rochester, New York, USA; aghassemi11{at}

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Commentary on: El-Sayed MM, Elhay ESA, Taha SM, et al. Efficacy of acceptance and commitment therapy on impulsivity and suicidality among clients with bipolar disorders: a randomized control trial. BMC Nurs. 2023 Aug 17;22(1):271. doi: 10.1186/s12912-023-01443-1.

Implications for practice and research

  • To treat impulsivity and suicidal ideation in patients with bipolar disorder (BD), realistic adjunctive psychological interventions that are easy to implement should be developed.

  • Future research should focus on developing more comprehensive instruments that integrates various components of acceptance and impulsive behaviours and explore the long-term efficacy of acceptance and commitment therapy (ACT).


While suicide and suicide attempts (SA) are persistently surging public health problems,1–3 impulsivity and suicide ideation (SI) are associated with SAs and mortality in BDs.2 Although several studies have explored …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.