Small towns are featured in countless scary movies and slow-burning psychological mini-series for a reason: they are full of secrets and strange traditions.
Whenever a small group of people congregate far away from the rest of society, there's bound to be some bizarre subculture going on. In the very least, there are some juicy local stories that speak to the nature of the town.
1. From OP:
A few years ago a friend of mine unsuccessfully (thank goodness) tried to kill himself by overdosing on pain pills. He was taken to a small hospital in Millen GA. I was living in Atlanta at the time so some friends as I drove down to check on him. When we made it down to the hospital we were asked to wait outside his room while a nurse was in the room attending to our friend.