School Refusal in Child and Adolescent Patients at Ramathibodi Hospital

Main Article Content

Nida Limsuwan



Objectives: To study characteristics of child and adolescent patients who were diagnosed with school refusal at the psychiatric unit, Ramathibodi Hospital.

Methods: This is a chart review of patients who were diagnosed school refusal. All subjects, both inpatients and outpatients, received psychiatric care at Ramathibodi hospital during January 2007 to October 2010.

Results: There were 17 subjects. School refusal occurred equally among boys and girls. The referral age ranged between 8 and 16 years (mean 11.6 years). Most of the subjects were in grade 3-6. About 60% of the subjects had chronic onset. Most of the subjects, about 70%, had peer problems at school and about 40% of the subjects had precipitating traumatic events at school before developing school refusal. The most common family pattern was conflicts family which was found in 53% of the subjects. In addition, school refusal was associated with several psychiatric disorders especially learning disorder and separation anxiety disorder which were subsequently found co-occurring 53% and 35% respectively.

Conclusion: School refusal forms a heterogeneous group of youth and is associated with several psychiatric disorders.


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How to Cite
Limsuwan, N. (2013). School Refusal in Child and Adolescent Patients at Ramathibodi Hospital. Journal of the Psychiatric Association of Thailand, 57(1), 39–46. Retrieved from
Original Articles
Author Biography

Nida Limsuwan, Faculty of Medicine, Ramathibodi Hospitak Mahidol University

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