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From the stimulus we have two possible assumptions,

1. whether Individuals with mental disorder can only be treated in Hospitals only?----> The answer to this question either Supports the claim that decrease in no of bed has led to increase in mortality of the individuals with mental disorder .

2. Whether other factors apart from decrease in bed has led to the increase in mortality of individuals with mental disorder in United states.

Option E clearly represents Point 2.

+1 for E

Over the past three decades, the number of hospital beds available for inpatient psychiatric treatment in the United States has declined from 4 per 1,000 population to 1.3 per 1,000 population. Over the same period in Japan, beds increased from 1 per 1,000 population to 2.9 per 1,000 population. Also during this period, annual mortality rates for persons with mental disorders have risen substantially in the United States, while declining in Japan.

To support a conclusion that the reduction in hospital beds is principally responsible for the increase in mortality in the United States, it would be important to establish which of the following?

(A) Whether the number hospital beds available for inpatient psychiatric treatment has risen or declined in countries demographically similar to the United States.
(B) The number of hospital beds available for inpatient psychiatric treatment in the United States prior to the three-decade period under discussion.
(C) Whether other factors, such as a decreased occurrence of mental disorders, may have led to the decline in mortality in Japan.
(D) Whether mental health care is more comprehensive in the United States or in Japan.
(E) Whether other factors in the United States may have led to increased mortal­ity for persons with mental disorders
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Over the past three decades, the number of hospital beds available for inpatient psychiatric treatment in the United States has declined from 4 per 1,000 population to 1.3 per 1,000 population. Over the same period in Japan, beds increased from 1 per 1,000 population to 2.9 per 1,000 population. Also during this period, annual mortality rates for persons with mental disorders have risen substantially in the United States, while declining in Japan.

To support a conclusion that the reduction in hospital beds is principally responsible for the increase in mortality in the United States, it would be important to establish which of the following?

Conclusion: In the US, reduction in hospital beds --> increase in mortality

(A) Whether the number hospital beds available for inpatient psychiatric treatment has risen or declined in countries demographically similar to the United States.
Irrelevant

(B) The number of hospital beds available for inpatient psychiatric treatment in the United States prior to the three-decade period under discussion.
Irrelevant

(C) Whether other factors, such as a decreased occurrence of mental disorders, may have led to the decline in mortality in Japan.
Irrelevant

(D) Whether mental health care is more comprehensive in the United States or in Japan.
This conparision is irrelevant

(E) Whether other factors in the United States may have led to increased mortal­ity for persons with mental disorders
This is the correct answer
If yes: Other factors --> increase in mortality
If no: reduction in hospital beds --> increase in mortality
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