They feel they must for PR, grandstanding, or as a power grab, but it won't matter in the end. From my readings about the Newtown nightmare, the killer was a distinctly odd, fairly bright but low-functioning kid, maybe autism spectrum or childhood schizophrenia spectrum, schizoid, or something like that. A harmless oddball. Some colleagues of mine have suspected a psychotic break, but I doubt it. Wired a bit wrong from the beginning I suspect, but this is not uncommon at all. Everybody has a loose wire and it's a matter of degree.
As the over-stressed parents of such kids learn, there are no cures for these problems. Often, no effective treatments either other than zombifying them with antipsychotic medicines. Sometimes a residential placement with lots of support can be useful but not curative in any way - and would need to be voluntarily undertaken. The killer's family had plenty of money, access to all of the resources that a wealthy family in wealthy and treatment-rich Connecticut and his devoted mother could provide, but nothing much could be done because there was little to do.
Not only is help limited in power, the humbling fact is that mental health professionals are essentially unable to predict either violent, homicidal or suicidal behavior except in the most acute situations. We try, often over-react, but these are black swan events which are unpredictable by definition. We cannot lock up every unusual, isolated kid who enjoys war games any more than we can lock up every angst-ridden teen with thoughts of suicide. And if we could, for how long? Kellerman writes about deinstitutionalization but that's not what this is about. Angry and unhappy people are everywhere.
Furthermore, many if not most people who could use a hand from mental health professionals have little interest in pursuing that. Interestingly, the ACLU recently blocked a Connecticut law which would have made outpatient treatment mandatory for some patients. Not that mandatory "treatment" can do much good. That's why people needing help slip through the cracks: they don't want it.
The sanest, least hysterical essay I have read on the topic is from Megan McArdle: There's Little We Can Do to Prevent Another Massacre. One quote from her excellent piece:
Unlike many libertarians, I am fine with a ban on automatic weapons. But no need to hop over to Change.org to start a petition to ban them; machine guns have been illegal in the United States since 1934, and since the 1980s, it has been illegal to manufacture and sell any automatic weapon. Apparently unbeknownst to Twitter, we have also already made it illegal for the mentally ill to buy or have guns, and have background checks aimed at prevented just that.
But beyond the strange calls to make serial killers pray more and outlaw things that are already illegal, the most interesting thing is how generic they were. As soon as Newtown happened, people reached into a mental basket already full of "ways to stop school shootings" and pulled out a few of their favorite items. They did not stop to find out whether those causes had actually obtained in this case.
It's the age-old "something must be done," but, as Megan points out, bad cases make bad law. The only consoling fact is that mass murder has been declining in the US since 1929. Guns have little to do with it. People determined to wreak havoc can do it in many sorts of ways, from making bombs to driving cars or airplanes into buildings, and do so across the world. The US has no monopoly on killing sprees, contra Michael Moore. If one looks around the world, it can seem as if civil behavior, as Americans understand it, is the abnormal.
Gun laws? Bomb laws? Other criminal laws? Evil-doers ignore and bypass laws while honest people end up having their freedoms limited by them. Naturally, when dramatic events happen in the world - 9/11, crash of housing bubble, mass murders, storms, etc., the pols and "advocates" and rent-seekers jump avidly onto their favorite hobby-horses and ride them for all it's worth for their own reasons. People want to assign blame on anything, it seems, other than, in this case, the seemingly demonic perpetrator.
As cold as it may sound today, crushing tragedy is part of the human condition and has always been. No "mental health system" or politician or policy will change that unless we all decide to live in a prison camp. We do believe in being armed, though, to minimize the odds of becoming a victim. That's why we have lightning rods on our roof, too.
In the meantime, we all mentally re-live the nightmare in our minds and wish it to be undone, to go away, to not be real, to be impossible.
Latest update: Killer's mom was attempting to get him committed to hospital