The attacker's motive for targeting a private Christian school is linked to her past attendance at the school, causing outrage over the incident. The FBI warned against releasing the writings, fearing false narratives, but the content contradicts claims that there was no clear conclusion about her motive. The attacker had been receiving mental health treatment at Vanderbilt University for 22 years since the age of six. The Nashville police have requested information on her treatments and medication. Vanderbilt's gender-affirming approach is known, which some doctors believe can be harmful. The American College of Pediatricians opposes the affirmation strategy, stating that gender dysphoria is often accompanied by underlying mental health issues, adverse family dynamics, childhood experiences, and autism spectrum disorder.