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the context being, north korea was really hard and terrible but there was family, friends, neighbors, everyone was in it together; in their new life in south korea, everyone was isolated from each other and they felt intense pressure to work very hard, alone
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I imagine one key difference was that this person's family and friends were all still back in North Korea, so they were jumping into a new life in a new country all alone. Misery loves company.
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You're cut off from your family, possibly feeling guilty that your family will be punished for your escape, and you are alone in a strange and foreign land. How do you NOT feel suicidal?