The survey asked students whether the following statement applied to them during the last week: "I felt that I could not shake the blues, even with the help of family and friends." Students were told there would be no repercussions for their answer, when in fact, their answer would be used to determine whether they would be pressured to leave the school early in order to boost the school's retention numbers.
Every time a lie like this is perpetrated, people with depression become more distrustful of people who seem to be offering help. "I feel terrible all the time. This person might be trying to see if I need help, or they might be trying to identify me as weak so they can shun me." This survey contains the kind of lies that drive people to suicide.