Low self-esteem and its association with anxiety, depression, and suicidal ideation in vietnamese secondary school students: A cross-sectional study: A cross-sectional study

Dat Tan Nguyen, E. Pamela Wright, Christine Dedding, Tam Thi Pham, Joske Bunders

Research output: Contribution to journalArticleAcademicpeer-review

117 Citations (Scopus)


Background: There is a correlation between self-esteem in adolescents and risks and protective factors for their health and welfare. The study was conducted to determine the prevalence of low self-esteem and sociodemographic features related to anxiety, depression, educational stress, and suicidal ideation in secondary school students in Vietnam. Methods: A cross-sectional design was employed for this study with participation of 1,149 students in Cantho City in Vietnam. A structured questionnaire was applied to ask about self-esteem, depression, anxiety, educational stress, and suicidal ideation. Results: Students with low self-esteem were detected at a prevalence of 19.4%. High educational stress and physical and emotional abuse by parents or other adults in the household were major risk factors correlated to low self-esteem, while a protective factor for low self-esteem was attending supplementary classes. An association among lower self-esteem and increased anxiety, depression, and suicidal ideation was detected. Conclusions: Self-esteem is associated with anxiety, depression, and academic stress, which significantly affect students’ quality of life and links to suicidal ideation. These results therefore suggested the need for a school-based or web-based provision aimed at proactively increasing students’ self-esteem and skills for dealing with academic stress.
Original languageEnglish
Article number698
Pages (from-to)1-7
Number of pages7
JournalFrontiers in psychiatry
Issue numberSEP
Publication statusPublished - 1 Sept 2019


  • Adolescents
  • Anxiety
  • Depression
  • Self-esteem
  • Suicide
  • Vietnam

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