Background: Elopement behaviour of adolescent girls followed by statutory rape is a complex public health and child protection issue. This study aims to describe the socio-demographic vulnerabilities, household dynamics, and self-reported drivers of premature romantic relationships among adolescent survivors. Methods: A retrospective descriptive study was conducted among 68 adolescent girls managed at the Teaching Hospital Ragama. Data were extracted from institutional records, and common reasons for initiating romantic relationships were obtained via a follow-up questionnaire. Results: The mean age of participants was 16 years (SD = .74).60.3% lived with both parents at the time of elopement; however, household dysfunction was high, with 60.3% experiencing domestic violence, 86.4% paternal alcohol use, and 30.3% paternal substance use. The primary sources of relationships were the neighbourhood (33.8%) and social media (27 .9%). The mean perpetrator age was 21 years. Vaginal penetration occurred in 80.9% of cases, with video recording of sexual acts (19.1%) and intentional drugging (10.3%). The primary self-reported drivers of relationship initiation were the belief in safety (n = 47), solving problems on their own, and the desire for positive attention (n = 45). Peer pressure, the need for a close relationship and physical attraction were among the other common self-drivers. Conclusion: Premature romantic relationships leading to elopement are strongly linked to “push factors" from dysfunctional domestic environments, leading the girls to seek emotional safety and validation externally . The high prevalence of social media-initiated relationships and household risk factors highlights the need for targeted digital safety education and communitybased family rehabilitation programs.