Barely Significant
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Excessive substance use in bipolar disorder is associated with impaired functioning rather than clinical characteristics, a descriptive study.

BMC Psychiatry · 2010 · PMC2824653 · PMID 20105311

1
hedged sentence
0.0530
closest p · 1.1× alpha
0.0530
boldest claim

The sentences

a strong trendp = 0.053so close (0.05 < p ≤ 0.1)
There was also a strong trend that the excessive substance use group had more suicide attempts than the no use group (p = 0.053).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.