Bipolar disorder individuals often make highly lethal suicide attempts therefore early identification of high-lethality suicide attempters is critical. In this study, BD patients were classified as high- or low- lethality attempters. High lethality attempts required inpatient medical treatment. A logistics model and permutation analyses examined the correlations between lethality, number and order of attempts. Researchers found that multiple attempters showed no pattern in increasing or decreasing their lethality attempts later on, but individuals who were disposed to early high-lethality attempts indicated this pattern of recurrence of high-lethality attempts later. In other words, risk for high-lethality suicide attempts was greatest amongst those who were more resolved to die and who had made a greater number of suicide attempts. However, attempters of low-lethality attempts does not indicate that these individuals would not try high-lethality attempts later on.
Are procedures parametric or non-parametric? Why
Parametric tests require a normal distribution of the studied variable, the drawing of independent samples, and at least one variable being studied to be interval. They often also require a larger sample size than nonparametric tests do.
In this case, the procedures were largely parametric although non-parametric tests were included to deal with nonparametric variables that were ordinal, categorical, and continuous. The study, as a whole, could be classified as parametric since the sample size was large (n=146), and interval data was used. The fact that the mean and SD were employed also indicates parametric perimeters. The two groups were well matched indicating no outliers. The t-test used for comparing the two groups is parametric although the chi-squared test is not (and indeed was used for categorical variables) as is the Wilcoxon matched pair variable used, as in this case, for continuous variables. Spearman's test used for ordinal data and existent here too, is another nonparametric procedure.
What types of statistic tests were used? What do the results of these tests tell you about the data?
The statistics tests used were the t-test to make comparisons between the two groups in terms of clinical, diagnostic, and demographic characteristics; the Wilcoxon test that was used to make comparison when continuous variables were involved, the chi-squared test that sought to find a relationship between a dependent and independent variable and used for categorical data; permutation analysis where 2000 random permutations of the data were generated in which the order of the lethality for suicide attempts for each individual was scrambled; and correlation coefficient that tested whether lethality increased with each subsequent attempt.
The results of the tests (t-test, Wilcoxon, chi) tell us that subjects with high-lethality attempts were generally older and more likely to be married than the low-lethality attempters but showed no difference on gender of other demographic variables. High-lethality attempted were also more likely to be inpatients at the time of entry to the study than low-lethality attempters and had a greater number of prior psychiatric hospitalizations than low-lethality attempters. High lethality-attempters were also more seriously intent on suicide than low-lethality attempters were and had made a greater number of previous attempts. Permutation analysis / Spearman failed to find a pattern of increasing lethality with each subsequent attempt. However, it was discovered that multiple attempt individuals who had made early attempts at high lethality were more likely later to make subsequent attempts at high lethality.
Were hypothesis-testing errors present? What are the consequences for the study if a Type 1 or Type II error was made?
The study did not involve any prior hypothesis. Researchers were testing to identity clinical and behavioral characteristic of high-lethality suicide attempts in order to target at risk individuals with Bipolar Disorder. A Type 1 error in this case may be the postulation that certain characteristics signify a tendency to high lethality when in fact no such tendency exists. This would be less dangerous than were the reverse to be the case i.e. were the Type II error to be committed where researchers failed to identify characterizes pointing to high-lethality or rejected existence of these characteristics when in fact they did exist. With the possibility of a Type II error slipping through, many more high-lethal suicide attempters would remain unimpeded to continue their high-level suicide attempts. The study was through in collecting all pertinent information in order to assess possible correlations and in order to investigate related data. The clinical and diagnostic measures were also reliable and current. Their sources of data specifically the Columbia Suicide History form was authoritative too.
Are there additional studies in the same field that corroborate results of selected studies?
There are several studies in the field that corroborate researchers'...
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