Managing acute suicidal crises in individuals with bipolar disorder is a critical challenge in Primary Health Care (PHC). Effective care requires rapid risk identification, crisis de-escalation, communication skills, and coordinated safety planning. This practice-based reflection describes a simulation-based strategy designed to strengthen these competencies.A simulation was conducted in a PHC unit using an actor portraying a 28-year-old man with bipolar disorder who exhibited psychomotor agitation, explicit suicidal intent, and a defined self-harm plan. Groups of six to ten students from multiple health disciplines conducted structured risk assessment, environment control, safety interventions, communication with family members, and referral to mental health services. A structured advocacy inquiry debriefing followed the scenario, promoting reflection aligned with evidence-based protocols.Few simulation exercises in Brazil address suicidal crisis management within PHC. This scenario integrates clinical, psychosocial, and ethical components while emphasizing multidisciplinary collaboration, core to Family Medicine.Participants demonstrated improved rapport-building, structured suicide assessment, and safety-planning skills. Training gaps included verbal de-escalation strategies and coordination with specialized teams. Plans include telemedicine elements, expanded crisis scenarios, and structured evaluation metrics.The simulation proved to behighly effective in training critical skills in the management of suicidal crises. The structureddebriefing was fundamental to consolidate the learning, allowing for reflection on the decisions madeand discussion of evidence-based protocols. The experience highlighted the importance of integrating mental health training into the education of primary care professionalsThis simulation-based activity effectively prepares future clinicians to manage high-risk suicidal crises in PHC. It reinforces technical, communicational, and humanistic competencies essential for safe, empathetic mental health crisis care.