St. Louis police released a detailed report Monday on a 2022 school shooting that left a student and a teacher deadpublicly revealing for the first time the shooter’s mental health issues and hospitalizations following suicide attempts.

The 456-page document also outlines concerns raised by Orlando Harris’ family and their attempts to get help.

Tanya Ward, the 19-year-old shooter’s mother, told officers that during his first two years at Central Visual and Performing Arts High School, things seemed “normal.” Everything changed after the Covid pandemic, the report said, noting that Harris’ “heart was no longer in it after returning to school after being out of school for an entire year.”

Harris graduated from the school in 2021. On October 24, 2022, he allegedly opened fire on the high school, killing health teacher Jean Kuczka and 15-year-old Alexzandria Bell. Several other people were injured and hospitalized.

Ward told officers her son had attempted suicide twice and considered it once, according to the report. The first time was in August 2021, a few weeks before he left for an out-of-state college, the report states. Police were called after his colleagues found a note he allegedly left at work.

The report further states that Harris was taken to the hospital and placed in a psychiatric facility. He was eventually released and subsequently saw a therapist regularly.

Around Thanksgiving 2021, he allegedly contemplated suicide, according to the report. He told his therapist who then asked Ward to admit him, which she did, the report states. He was released before Christmas of the same year, it is noted.

Harris allegedly attempted suicide again during the summer of 2022, according to the report. He was immediately hospitalized.

“After his release from the hospital, Orlando H. informed Ward that he would not return to the hospital and ceased all contact with the therapist,” the report states.

A little more than a week before the shooting, the family discovered Harris was having packages of guns and ammunition delivered to his home, according to the report. Her mother took the packages and hid them. After her sister discovered the packages, she searched his room and found an AR-15 style rifleaccording to the report.

Ward told agents she also learned her son had attended a gun show and purchased more tactical equipment and firearms, the report states.

“Ward indicated that with all of the above information gathered, she decided to call the St. Louis Metropolitan Police Department. Crisis intervention officers intervened at his home,” it says.

Officers told Ward they could not legally take his son’s gun. Harris allegedly argued with his mother and said he worked hard to earn the money to buy the gun and wanted to keep it.

The report states the family contacted police “because they were concerned about Orlando H.’s mental illness and felt he should not be in possession of firearms.” The family wanted police to take Harris’ gun, he says.

Ultimately, Harris said he would appease his family by storing the gun, tactical gear and ammunition. His sister drove him to the facility, the report states.

After the shooting, officers went to the storage room and found it completely empty.

One of Harris’ sisters said, according to the report, that “she knew something was going to happen.” Another sister said that when she heard about the shooting, she thought her brother was involved but hoped it wasn’t him, according to the report.

The report also includes an interview with Harris’ psychiatrist, Hetal Patel.

Patel said he saw Harris twice in August 2022. The report said he was referred to her after his stay at the psychiatric hospital for a suicide attempt.

Patel described Harris as having “feelings of worthlessness” and “distorted expectations of himself,” including the idea that he was a failure at everything, according to the report. She said he lost interest in gaming and other hobbies in 2021.

She prescribed him medication but later learned he had not filled it. She also tried to get him to seek psychotherapy, but he refused, saying he had tried it in the past and it didn’t work, according to the report.

During one session, Harris allegedly talked about shooting people at his old high school, according to the report. He said the thought lasted “one evening then vanished,” the report said, adding: “No planning.” I didn’t want to do it and hadn’t thought about it since that evening.

Patel was supposed to see Harris in September but he never showed up. On October 11, clinic staff contacted him but were unable to get in touch with him.

Authorities said Harris entered the school with a gun in an “aggressive and violent” manner and had nearly a dozen 30-round magazines on him. The police found him eight minutes after arriving at the scene.

After a shootout with authorities, he was taken into custody and later pronounced dead, police said.