A comprehensive report on Audrey Hale, the perpetrator of the 2023 Covenant School shooting in Nashville, details her five-year planning, psychological issues, and alarming behaviors. Hale, who identified as male, caused concern among parents and therapists with thoughts of violence, including contemplating killing her mother to avoid intervention. Despite extensive mental health treatment, including outpatient programs and therapy, she ultimately carried out the deadly attack, resulting in the deaths of three children and three staff members. The report emphasizes the need to understand violent incidents' complexities and the mental health factors involved.