19. By definition, no matter what motive, it is a mental health issue.
if he just snapped and shot people or if he was motivated by hate it is mental health.
The actions are the result of that person's mind. The Fred Phelps people are disgusting but do not kill people. They may end up sharing the same thoughts.
If the guy was motivated by some homophobic hate and acted on it that is a mental health problem.
That does NOT release him from culpability but is to blame for his actions.
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