One of the reasons is that there's a surveillance effect of having neighbours, friends and family, and workplace and colleagues. In rural areas, there are fewer people around to watch.
There are also more barriers to getting help. There are more barriers around everybody knowing everyone. Somebody gave me an example earlier: If I park my car outside the shelter, everybody knows that I'm in the shelter and that has a lot of judgment associated with it in that community.
Those are two reasons—