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Mental illness would be a symptom or contributing factor. Crazy doesn't give you carte blanche to do whatever the hell you want.
I feel like violence is shown to everyone these days as the solution to all your woes. Add some level of psychosis to seeing too many instances of people getting shot, stabbed or otherwise brutalized and being able to walk away from it or fight back (with little to no blood) and a disturbed adolescent could do something really stupid.
And to further AZTheta, if you know the song I don't Like Mondays, that was supposedly the reason why a girl went on a killing spree at school.
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"Traveling - It leaves you speechless, then turns you into a storyteller. ~ Ibn Battuta
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