It’s bad enough dealing with crippling depression in a small town, where everyone’s going to tell you that A: your condition is a moral failure rather than an illness with physiological underpinnings, B: religion is the answer to your condition, C: (for males, anyway) your condition makes you weak and effeminate, or D: a combination of the above or more likely all of them. Adding those things on top of it is a recipe for suicide.