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I speculate he was probably neglected emotionally at a minimum, possibly abused on top of some other issue or issues. That level of rage and violence usually doesn't come out of nowhere. There may be genetic predispositions involved. The thing is, I don't think we have a clear enough picture of the causes. It's difficult since often shooters take their own lives.
Edited to add:
I think our society fucking sucks. We would rather let a kid destroy lives, then destroy his in retribution than lift a fucking finger to help anywhere along the way.
The whole thing could almost certainly been avoided had his parents sought any semblance of mental help. He told them he was seeing and hearing shit and that his mental state was not good. They decided to ignore that and give him a gun for Christmas instead. His parents were irresponsible drunk fuck heads that deserve years upon years in prison. The kid needs years in a mental health institution.