Authored by Darlene McCormick Sanchez via The Epoch Times (emphasis ours),

Mental health issues that manifest in gender confusion, combined with potent cross-sex hormones, can be a recipe for violence, some experts have said.

Since 2018, five people who identified as transgender or were gender-confused have gone on killing sprees at schools and businesses. Authorities have been increasingly slow to confirm so-called gender identities and motives in cases such as these.