Topic summary
School refusal

Child-motivated reluctance to attend school School refusal is a child-motivated refusal to attend school or difficulty remaining in class for the full day. Child-motivated absenteeism occurs autonomously, by the volition of the child. This behavior is differentiated from non-child-motivated absences in which parents withdraw children from school or are unable to bring their children to school for circumstances such as homelessness. School refusal is characterized by avoidance and/or emotional distress at the time of attending school. Rates of absenteeism due to school refusal behavior manifest in a variety of ways and are defined, tracked, and reported differently among schools and school districts. Academic literature estimates that school refusal occurs in 1–2% of the general population and in 5–15% of youth who are referred to clinics. Classification School refusal behavior is characterized by an emotional and behavioral component. The emotional component consists of severe emotional distress at the time attending school. The behavioral component manifests as school attendance difficulties. School refusal is not classified as a disorder by the Diagnostic and Statistical Manu