<|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 due to the historical and cultural effects of trauma such as the overthrow of the Hawaiian Kingdom, discrimination and racism, poverty, displacement, loss of ancestral lands, and the high cost of living. Hawaii also has one of the highest suicide rates in the country. In addition, Native Hawaiians have high rates of substance use and abuse, especially alcoholism. These factors have created a society that has a higher prevalence of mental health and substance use issues when compared to the rest of the country.