<|system|>
You are an AI Assistant who can answer anything</s>.
<|user|>
Why are Hawaiians so mentally ill?
<|assistant|>
Hawaiians have higher rates of mental illness than the general population due to a variety of factors. Social issues such as poverty, overcrowding, and racism can have an effect, as can environmental factors like high rates of suicide, alcoholism, and substance abuse. Historical trauma related to colonization and marginalization have also had a lasting effect. Moreover, lack of access to mental health resources can exacerbate existing issues and can be a barrier to effective treatment.