Utah. “This is the place,” I am told. The Promised Land.
Utah boasts low crime rates, healthy residents, and the highest literacy and language fluency rates in the country. And yes, it is also true that Utah is the #1 state for Jell-O consumption.
But all is not well in Zion.
Behind its glossy façade, Utah hides some ugly truths. The state is plagued by drug abuse, depression, suicide, and sexual violence.
Last weekend, I traveled to Salt Lake to see Happy Valley, a local documentary that exposes the epidemic of drug abuse, namely of prescription drugs, in Utah. The film follows several Utah families whose lives have been devastated or dramatically affects by prescription drug abuse. Each personal story is compelling, but what really hit me is how wide-spread the problem is.
According to a study by the U.S. Department of Health and Human Services, Utah leads the country in non-medical painkiller abuse. Of Utahns age 12 or older, 6.5 percent used a prescription pain medication without a doctor’s order in the past year. And in the past five years, 1300 Utahns have died of prescription drug overdoses.
So while our university has a manic fixation on smoking, smoking appears to be the least of Utah’s drug problems.
Most importantly, Happy Valley explores the cultural issues of denial, conformity, social pressure and guilt that underlie the state’s drug problem (among others). One addict said that recovery in Utah is especially difficult because our society is so judgmental—people don’t want to be honest and open about their addictions for fear of how others might perceive them. He asked that Utahns “look in the mirror, before looking out the window.”
Happy Valley is a powerful experience. By the movie’s end, there was not a dry eye in the theater. I cried so much, in fact, that I nearly had to wring my beard dry. I know I’m not a film critic for the Statesman, but, for what it’s worth, I think you need to see it.
The movie’s scope, though, is limited. First, it doesn’t adequately address meth use in Utah. Nearly 36 percent of Utahns in treatment for illegal drugs are addicted to meth. And second, drug abuse is just one of many serious problems confronting Utah. Another issue for the state is its obscene suicide and depression rates.
Utah leads the nation in youth suicides. And disproportionately represented in these suicides are gay youth. Gay teens are three to five times more likely to commit suicide. Since 1965, for example, nearly 40 gay students at BYU have taken their lives. Overall, Utah had the 7th highest suicide rates in the country from the years 2000-2004.
As for depression: Utah doesn’t just lead the U.S. in antidepressant use; it leads the world.
There are special features or “risk factors” which help explain Utah’s high suicide and depression rates.
Easy access to firearms exacerbates Utah’s suicide problem. According to the Utah Department of Health, half (53%) of all suicides in Utah were committed with a firearm—more than suffocation/hanging and poisoning combined.
Country music, believe it or not, has been found to increase suicide rates as well. According to sociologists Steven Stack and Jim Gundlach, country music “nurtures a suicidal mood through its concerns with problems common in the suicidal population, such as marital discord, alcohol abuse, and alienation from work…The greater the airtime devoted to country music, the greater the white suicide rate.”
Chief among the risk factors for suicide is an unwillingness to seek help due to the stigma attached mental disorders like depression.
“We have this ‘All is well in Zion’ kind of thing going here,” Attorney General Mark Shurtleff said.
“We’d rather not talk about [depression] at all or maybe to go talk to the bishop about it,” he said. “If there really is a mental health issue you need help. It doesn’t work to talk to the youth leaders or ecclesiastic leaders.”
To be fair, a couple of the aforementioned risk factors are not unique to Utah. Indeed, rural areas in general (and the Rocky Mountain region in particular) have markedly higher suicide rates than the rest of the U.S. Utah’s rate is nonetheless alarming. And we must pay particular attention to this issue now, given that suicide rates are highest in the spring.
In rape, too, Utah exceeds the national average. One in eight Utah women will be raped at some point in their lifetime. And sadly, few rapes will be reported.
A recent report by the Deseret Morning News found that 90 percent of Provo rapes go unreported. A BYU police officer explained that “most Provo residents are religious and have a tendency to stigmatize discussion of sexual assault and sometimes to demonize the survivor.” And I wonder whether the rapes themselves result, in part, from our unhealthy climate of sexual repression.
None of this should be read as an attack on the LDS church per se. But these grim realities do serve as an indictment of Utah’s cloistered culture.
Ignorance is not bliss; too often, as evidenced by Utah, ignorance is dangerous.
I do not intend to be rude, but my research does not agree with your post.
Regarding drug abuse in Utah, according to this report from 2006-2007,
http://www.oas.samhsa.gov/2k7State/AppB.htm#TabB-1
released by SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health,
Utah ranks 48th in total illicit drug use, with 6.43% of people 12 and older illegally using drugs. The only states with a lower illicit drug use are North Dakota (6.2%) and Iowa (5.2%).
I think “plagued by drug abuse” is a bit of an overstatement.
Since you specifically mentioned non-medical pain killer abuse, a report from the same office:
http://www.oas.samhsa.gov/2k7State/AppB.htm#TabB-8
Here Utah ranks 22nd, with 5.24% of the population 12 and older abusing pain killers. For comparison, Arkansas is highest, at 7.29%, and South Dakota is lowest at 3.41%
Regarding suicides in Utah, according to the National Center for Health Statistics, a division of the Center for Disease Control,
http://www.cdc.gov/nchs/datawh/statab/unpubd/mortabs/lcwk9_10.htm (2006)
Utah ranks 4th highest in suicides as a percentage of total deaths, and 15th as a percentage of total population. However, I postulate that this has almost nothing to do with the culture of Utah, and instead is a factor of Utah being largely rural, and offer the following to support this.
States with the lowest population densities:
State – Population Density (people per sq mile) – Suicide Rank – Suicides per 100,000 population
1. Alaska – 1.2 – 2nd – 20.1
2. Wyoming – 5.4 – 1st – 22.5
3. Montana – 6.5 – 3rd – 20
4. North Dakota – 9.3 – 16th – 14.2
5. South Dakota – 10.5 – 6th – 16
6. New Mexico – 16.2 – 5th – 18
7. Idaho – 18.1 – 10th – 15.1
8. Nebraska – 23.1 – 33rd – 11.4
9. Nevada – 23.4 – 4th – 19.5
10. Utah – 32.2 – 15th – 14.2
States with the highest population densities:
State – Population Density (people per sq mile) – Suicide Rank – Suicides per 100,000 population
1. New Jersey – 1171.1 – 50th – 6.7
2. Rhode Island – 1012.3 – 45th – 8.4
3. Massachusetts – 822.7 – 48th – 7
4. Connecticut – 722.9 – 46th – 8.3
5. Maryland – 574.8 – 44th – 8.8
6. Delaware – 442.6 – 39th – 10.7
7. New York – 408.7 – 49th – 6.9
8. Florida – 338.4 – 19th – 13.5
9. Ohio – 280.0 – 32nd – 11.5
10. Pennsylvania – 277.4 – 37th – 11.2
Now, you did specifically mention youth. I could not find data regarding different age groups, but I offer this possible explanation. Utah has a higher percentage of teens (32.2% of the population was under 18 in 2000
than any other state, (the national average was 25.7% in 2000), and as such, a higher percentage of suicides are teen suicides.
http://www.census.gov/population/www/projections/projectionsagesex.html (Table 5)
Regarding depression in Utah, again from SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health,
http://www.oas.samhsa.gov/2k7State/AppB.htm#TabB-24
Utah ranks 18th in “Having at Least one Major Depressive Episode in Past Year” at 8.07%. Tennessee is 1st, at 9.82%, and Hawaii is last, at 5.02%.
http://www.oas.samhsa.gov/2k7State/AppB.htm#TabB-23
Utah also ranks 11th in “Serious Psychological Distress in the Past Year” at 12.59%. West Virginia is 1st, at 14.42, and Hawaii is last at 8.18
Regarding rape in Utah, according to a report issued by the department of justice
http://www.ncjrs.gov/pdffiles1/nij/183781.pdf (PDF 298K)
Among 8000 women surveyed nationally, 17.6% said they had been the victim of a completed or attempted rape at some time in their life. The one in eight (12.5%) figure quoted in this post seems lower than the national average.
I am interested in seeing your data sources.
Thanks for your comments, Joseph. There is nothing rude about disagreeing. On some points, you may be right–but you do, in fairness, have the benefit of more recent research. I wrote this article a year and a half ago, and its claims are based largely on data from a few years ago. All the same, my arguments were informed by the research I did; I didn’t make up anything.
I can’t recover all of the data I used for this article, but here are a few studies that support my general thesis.
Utah’s high prescription drug-abuse: http://www.hsdsa.utah.gov/docs/prescription_drugs_misuse.pdf
Utah leads the nation in youth suicides: http://www.deseretnews.com/article/1,5143,635201873,00.html
Utah’s above-average rape rate: http://www.deseretnews.com/article/1,5143,600125585,00.html
http://lawprofessors.typepad.com/crimprof_blog/2008/09/utah-has-high-r.html
Utah is the “most depressed state” in the country: http://www.deseretnews.com/article/1,5143,695231614,00.html
And I could marshal together a number of other studies to further substantiate my case.
Many of the confounding factors that you mention, like Utah being rural, are mentioned in my note. With youth suicide, though, I hadn’t considered the young demographics of Utah. I don’t know to what extent these studies controlled for that as a factor. The Deseret News article about youth suicide that I provided above, though, links Utah’s suicide rates with the rates of depression and mental illness here. You some of your points are worth considering and they’re well taken by me.