 The study found that 31% of the students had experienced major depressive disorder, MDD. This indicates a high prevalence of mental health issues among university students in Sri Lanka. Factors such as ethnicity were identified as being associated with MDD. Therefore, it is important to develop psychosocial interventions to detect and treat mental health disorders among university students. This article was authored by Yanti Wickramasing, Burjitta Esson, Rajendra Sarendra Akumaran, and others.