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School refusal is a child-motivated refusal to attend school or difficulty remaining in class for the full day.[1] 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 keep them home for circumstances such as homelessness.[2][3] School refusal is characterized by avoidance and/or emotional distress at the time of attending school.[4]
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.[5][4] 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.[6][5][7]
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