With more than 20 years of experience in health journalism, writer Laura Beil has won several awards for her work in medical journalism and is editor-in-chief of Men's Health, among others. The article begins by discussing the life of a young woman who moved from suburban New Hampshire to a small town in southeastern Wyoming. The author talks about the young woman's struggle with depression and self-harm that led her to suicide. The author notes that stories like this are common in small-town America. Problems such as isolation, family dysfunction and health problems in small towns are said to be causing more and more teenagers to consider suicide. The author explains that even people who need help are too afraid to ask for it because there is little or no privacy in small towns, and the majority of small American towns are not home to a single psychologist or psychiatrist to properly meet their needs. Beil acknowledges that Wyoming institutions are now trying to introduce suicide awareness training and implement mental health treatment in doctor's offices. This article gives an overview of rural life and the problems that living isolated without