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I've worked in mental health for over 25 years and I'm stunned how uncomfortable/ difficult/who-knows-what it is to say something about a peer who is clearly having some issues. I've repeatedly seen people with clear signs of trouble who are ignored by their friends and co-workers who make a living by recognizing worrisome traits and intervening.

I've gone to supervisors with concerns and have been shooed away or told to be quiet. None of these co-workers were homocidal but plenty were suicidal or delusional.

In addition to all the other factors discussed on this thread I see the inherent problem within the mental health commmunity of not viewing peers the same way we view other clients. I hope I see some discussion by my fellow therapists about this unfortunate phenomenon due to this tragedy.