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Assuming that the Sangamon County School District XX was worried about a series of suicides among students in 7 th grades through high school. Over

Assuming that the Sangamon County School District XX was worried about a series of suicides among students in 7th grades through high school. Over the past decade, at least 10 students had committed suicide during the school year in this School District. As an epidemiologist, you have been asked to conduct a cohort study to examine risk factors that might be associated with suicides among the population mentioned above. Thus, you have designed a robust longitudinal study that required each student in grades 4 and above to complete a series of assessment regarding stress level, social involvement, and relationship, affects, and so on, twice during the school year. By the end of the third year, you have conducted six assessments and 11 students were either confirmed or suspected of committing suicide. Preliminary examination of the data showed that parental pressure placed on children to excel at academic studies was to blame for these outcomes. Therefore, you separated the data into high and low stress responses about parental pressure to evaluate your hypothesis. Use the table below to answer the accompany questions:

Number of confirmed and suspected suicides

Person-Months of Observation

High Stress (Upper Quintile)

9

34,400

Low Stress (Lower Quintile)

2

58,980

Section A

  1. What is the average monthly incidence (density) rate of suicide per 10,000 students for those in the high and low-stress groups? (2 points)
  2. What is the relative risk of suicide among students with high stress compared with those with low stress? Interpret this finding. (Hint: RR = Risk in High-StressRisk in Low Stress) (2 points)
  3. What is the risk of suicide attributable to stress for those in the highest quintile compared with those in the lowest quintile? Interpret this finding. (2 points)

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