The present study was conducted to assess the prevalence and associations of mental health problems (MHPs) among adolescent schoolchildren in Sri Lanka 8 months after the tsunami disaster. A descriptive cross-sectional study was carried out in the Galle Municipality area, Sri Lanka. The study instrument consisted of a self-administered questionnaire and the validated Sinhalese version of the Strengths and Difficulties Questionnaire. The prevalence of MHPs in the study population was 32.2% (confidence interval [CI] = 28.44% to 35.96%). Direct experience of the tidal wave (odds ratio [OR] = 2.93, P = .013), perception of being affected by tsunami (OR = 1.79, P = .0014), and impact of rumors (OR = 1.85, P < .001) were significantly associated with MHPs. Not having a close friend (OR = 1.79, P = .04), being criticized by teachers (OR = 1.66, P = .008), and adolescents being not satisfied with their academic achievements (OR = 2.42, P = .02) were also significantly associated with MHPs. Even 8 months after the tsunami, MHPs among adolescent schoolchildren in the affected areas are still very high.
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