Your mental health doesn't matter unless you're attractive.
If you're too short, have crooked teeth, a funky jawline, hairline too high or low, brows too thick or thin, too skinny, too fat, eyes too big or small, or even if you just don't have a good fashion sense, no one will ever care enough to worry about you unless you pay them.
If you don't have a cute "wholesome" look going for you then you might as well kill yourself, not a soul on this earth would give two shits even if they knew you were planning it, they could outright walk in on you doing it and they wouldn't stop you if you don't have an endearing appearance.
Pic related is a cutie, that's why his game works. He looks like someone the player wants to protect. If he were ugly it would be a shit game because no one would care that he's suffering and that would make the psychological horror segments cheesy and not compelling.