AUTHOR=Fujiwara Takeo , Doi Satomi , Isumi Aya , Ochi Manami 

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

VOLUME=11

YEAR=2020

URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2020.529818

DOI=10.3389/fpsyt.2020.529818

ISSN=1664-0640

ABSTRACT=<p><bold>Objective:</bold> 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.</p><p><bold>Methods:</bold> 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 (<italic>N</italic> = 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.</p><p><bold>Results:</bold> 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).</p><p><bold>Conclusion:</bold> The existence of a third place and a role model may be important to prevent low self-esteem among adolescents in Japan.</p>