This article describes the application of family-focused therapy as an adjunct to pharmacotherapy in the management of suicide ideation & behaviour among bipolar patients. The empirical basis of family-focused therapy in studies of adult & adolescent patients is described. The manner by which the three modules of this therapy – psychoeducation, communication skills training, & problem solving – are adapted to address the clinical issues presented are discussed. A case study of an adolescent with suicidal behaviour is presented. Future research should include cross-cultural issues in suicide & bipolar disorder & the adaptation of interventions shown to be effective in non-bipolar populations. (53 refs)