Giant Book Sale

Article Tools

Use the form below to share this article via email.


Your name:

Your email:

To email:

Message:

Original pie charts from last week’s Daily Lobo that show proportions of method, conditional
on suicide attempt success.

Improved visualization of average annual percentages and frequencies of NM suicides from 1999-2005 (sprc.org).

Possibly Related:

Get the full picture on NM suicides

Last updated: 11/10/11 1:15am

Presenting information in a way that clearly answers interesting questions is challenging. Every plot has an implicit question (hypothesis) that it helps you answer. Therefore, it is important to align a visual display of information with the intended interesting question(s). Collaboration or consultation with a statistician can clarify interesting questions and lead to answers through appropriate data analysis.

Suicide was the topic of the front cover story in the Daily Lobo last Thursday. With the story, two pie charts displayed average annual proportions of successful and unsuccessful suicides by method in New Mexico.

The successful pie chart answers this statement of conditional probability: “Given a successful suicide, what percentage used certain methods?” A question I consider more interesting, however, reverses the conditioning: “Given an attempted suicide with a certain method, what percentage were successful?” Furthermore, I want to know the overall frequency and percentage of each method attempted. How can we present the information in a way that simultaneously answers these questions?

The Suicide Prevention Resource Center (SPRC.org) maintains national and state suicide fact sheets, last updated September 2008, describing “deaths by suicide, estimated hospitalized attempts, and data on medical costs, work loss costs, gender, race/ethnicity, age and method of suicide.” The pie charts in Thursday’s Daily Lobo were reproductions of those found on the New Mexico fact sheet. From their summaries, below is the SPRC table for estimated mean frequencies by method for successful and unsuccessful suicides.

Their question and pie charts consider percentages down columns.

When the data are reduced to row percentages for successful and unsuccessful attempts separately, you lose the relative frequency of attempts. The percentage of firearms successes (56 percent), for example, depends on all the other successful attempts. Because proportions for successful and unsuccessful attempts are separate, you can’t learn about how successful firearm attempts are.

There is a temporal process: a person first chooses a method, then makes an attempt and is either successful or not. The data display and questions should follow these temporal steps. The pie chart displays ignore this process.

My question and plot considers the temporal process of attempting suicide, considering percentages across rows, including row total information. First, the relative use of various methods is clear: almost two-thirds of attempts are by poisoning, and firearm and cut/pierce are each just above one-in-10. But even though attempts by firearms (12 percent) and cut/pierce (13 percent) are relatively rare, the success rates are extremely different (92 percent vs. 2 percent)! The plot has been sorted by the numbers of successes to emphasize the relative risk of the methods in terms of lives, information which is lost in the pie charts.

The Agora Crisis Center (505-277-3013, 9 a.m. to midnight, every day) plays a critical role in our community, and our education as individuals around these issues can save someone. Using statistics and visualization to tell and understand the important story in the data can lead to improvements in strategies and resource allocation for treatment and prevention.

Erik B. Erhardt is an assistant professor of statistics and is the UNM statistics and consulting clinic director. He can be reached at erike@stat.unm.edu

Published November 10, 2011 in Columns, Opinion

Upcoming Events

 

No events for this date

No events for this date


4 comments



Student

November 10, 2011 at 4:15 PM
Flag this comment

While I am fascinated by this article, I’m a little trepidatious about how I feel about having this information posted. If I were suicidal, all this article would do is point be to the most effective method. Clearly poisoning is out of the question, as is cut/pierce. Finding a firearm can’t be that hard. Am I being overly sensitive, or does anyone else think it’s kind of suggestive to the suicidally inclined?


Erik

November 10, 2011 at 9:41 PM
Flag this comment

I believe the issue of suicide is more complicated than “Student” comments, regarding giving information to show which methods are more “effective”. My intention in writing the article is to show how the information can be presented in a useful way. When you can understand a story (which my plot tells, and the other can not), then you can take action. The action I hope can come from this is to improve prevention and treatment. For the “help inclined”, maybe more can be done to help those in need.


UNMStudent

November 12, 2011 at 1:21 AM
Flag this comment

@Student (and author): I doubt that providing information on which methods of suicide are most successful would inform those considering it more than they already are. It’s rather obvious that shooting oneself would be more effective than taking pills (for example).

I also believe suicide success rates, and the methods chosen, are directly related to the reason a person makes the attempt. If a person shoots or hangs himself/herself, then they probably, seriously, meant to die. They were unlikely to be making the attempt to find help.

Read more …

On the other hand, a person who swallows a ton of pills may have done so as a “cry for help” so to speak. I’m not saying it’s not a serious attempt, but it does leave some potential that the person may survive and receive help, or may actually die, but at least the two possibilities exist. Either way, someone would hopefully notice. I speak from multiple personal (though a decade old) experiences. I was lucky to receive help (gay bullied teen whose mom died from cancer when he was 14).

Either way, it’s far more important for people to be aware of those who need help; how a persons considers killing himself/herself is less important than addressing the problem before it reaches that point.

Agora is cool.


UNMStudent

November 12, 2011 at 1:26 AM
Flag this comment

Quick followup: A more useful pie graph would be one that shows a breakdown for the reasons people make attempts.

Comments are closed for this item.