Our discovery GWAS sample was comprised of 32 cohorts from 14 countries in Europe, North America and Australia (Supplementary Table 1A), totaling 20,352 cases and 31,358 controls of European descent. A selected set of variants (see below) were tested in 7 follow-up cohorts of European descent (Supplementary Table 1B), totalling 9,025 cases and 142,824 controls (Neff = 23,991). The Supplementary Note summarizes the source and inclusion/exclusion criteria for cases and controls for each cohort. All cohorts in the initial PGC BD paper were included 9. Cases were required to meet international consensus criteria (DSM-IV or ICD-10) for a lifetime diagnosis of BD established using structured diagnostic instruments from assessments by trained interviewers, clinician-administered checklists, or medical record review. In most cohorts, controls were screened for the absence of lifetime psychiatric disorders and randomly selected from the population.