What's "shame" to one
is a joke to another. Different cultures clashing maybe. Her home is 120 miles away from the hospital, and that's where her husband and children live. Why was she living in a hospital apartment? Just go home on weekends? I suspect she was already depressed.
If someone makes a joke and all have a good laugh, then makes the same joke again and a person uses that as an excuse to kill themselves, was the latter joke worse than the first? I think not.