@article{ref1,
title="Association of existence of third places and role model on suicide risk among adolescent in Japan: results from A-CHILD Study",
journal="Frontiers in psychiatry",
year="2020",
author="Fujiwara, Takeo and Doi, Satomi and Isumi, Aya and Ochi, Manami",
volume="11",
number="",
pages="e529818-e529818",
abstract="OBJECTIVE: Low self-esteem among adolescents can be considered a risk factor for suicidal behavior in adolescents. Thus, the purpose of this study is to investigate the association between the existence of a third place and role model on self-esteem among adolescents in Japan, where low self-esteem is prevalent among adolescents. <br><br>METHODS: We analyzed data from the 2016 Adachi Child Health Impact of Living Difficulty (A-CHILD) study, in which a school-based questionnaire was conducted among children in grades 4, 6, and 8 living in Adachi City, Tokyo (N = 1,609). Children self-rated their own levels of self-esteem. Low self-esteem was defined as lower 10 percentile group. The existence of a third place was defined as a place where children spent time after school other than the home or school campus, and role model was defined as having someone, other than a parent, who they looked up to, and these concepts were assessed via questionnaire. <br><br>RESULTS: Adolescents without a third place and role model accounted for 10.5 and 6.1%, respectively. We found that children who lacked a third place also showed a significant association with low self-esteem (OR: 1.75, 95% confidence interval (CI): 1.09-2.81), and those who lacked a role model were 3.34 times more likely to have lower self-esteem (95% CI: 1.98-5.62). <br><br>CONCLUSION: The existence of a third place and a role model may be important to prevent low self-esteem among adolescents in Japan.<p /> <p>Language: en</p>",
language="en",
issn="1664-0640",
doi="10.3389/fpsyt.2020.529818",
url="http://dx.doi.org/10.3389/fpsyt.2020.529818"
}