The document discusses several potential causes of poor academic performance in students. Psychological factors like low self-esteem, mental health issues, lack of motivation, and poor time management can contribute. Social and environmental influences such as dysfunctional family situations, low-income neighborhoods, and lack of parental involvement also impact performance. Neurological conditions including low intelligence, learning disabilities, and attention issues are further potential underlying causes. The document emphasizes that early identification of challenges and individualized interventions are key to preventing poor performance.