The perfectionist streak is real. The manifestation in cosmetic surgery is somewhat odd considering it's not explicitly taught (and has even been explicitly been panned). My own theory is that it's a weird combo of taking ideals seriously, religiously magnified & concentrated conscientiousness, and finally, heavily emphasizing the importance of having a mate and tying status to it.
However, I'm not sure the most ready explanation for any outlying antidepressant is oppressive religious expectations, outside of either some extra zealous backgrounds or key demographics like gay/lesbian individuals who are presented with a dilemma by the church that usually can't be resolved living inside church direction.
Given the famous abstinence from most common forms of self-medication (alcohol, weed, and tobacco), and a bit of a bent for being directed by authority, seems to me a good chunk of the difference is likely to essentially be displaced system-approved substance use.
I could restate this positively as "highest rate of treated depression," so I'm wondering if it also has abnormally high rates of depression?
That said, I believe that there is other data showing there is other perscriptio drug abuse more prevelance than usual. If that's from increased depression, or merely from being an easier "bad" coping mechanism that's easier to hide, I'm not sure.
There are a lot of judgemental (self righteous?) Mormons in Utah. There are a lot of nice ones as well, though I think you'll find the ratio of nice to judgemental higher in other states.
My take on it? Being mormon has become somewhat cultural in Utah. It's not nearly so much elsewhere.
I won't dispute this, but I will mention some interesting hypotheses that indicate rates of depression are highly correlated with altitude.
I see that commonly mentioned.
What is not concurrently mentioned is that Utah is 48th for drug abuse [1], 48th for excessive drinking and 50th for alcohol-related driving deaths [2], and 50th for tobacco use [3].
Depression sucks, but anti-depressants are far, far safer (if not cheaper) than self-medicating with alcohol, tobacco, and other drugs.
[1] https://wallethub.com/edu/drug-use-by-state/35150/
[2] https://www.usatoday.com/story/news/2018/03/08/these-america...
[3] https://www.cdc.gov/mmwr/volumes/65/wr/mm6539a1.htm#modalIdS...
Utahns love porn.
Also all the crap LGBT Mormon kids go through.