Inside the Mind of the NYC Shooter — What CTE Means for Mental Health and Violence
4 min read
The July 28 shooting at the NFL’s New York City headquarters shocked the nation. What followed was perhaps even more unsettling: a note from the gunman, Shane Tamura, blaming chronic traumatic encephalopathy (CTE) for his mental health collapse. Now, medical examiners have confirmed Tamura had low-stage CTE, reigniting urgent debates about head trauma, violent behavior, and accountability.
Who Was Shane Tamura?
Shane Devon Tamura, age 27, was not a well-known public figure—but some key facts have emerged:
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He played high school football. Wikipedia+4Reuters+4People.com+4
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He later worked in Las Vegas (casino security / surveillance). Business Insider+3ESPN.com+3ABC News+3
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Reports say he had persistent headaches, had seen neurologists, and pursued treatments to address neurological pain. ESPN.com
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In his note, Tamura explicitly blamed football and the NFL, asking that his brain be studied post-mortem. Business Insider+3Reuters+3People.com+3
On July 28, 2025, Tamura killed four people and then died by suicide. The victims included a security guard, a police officer, a real estate executive, and a business associate. AP News+4Reuters+4People.com+4
What Is CTE?
Chronic Traumatic Encephalopathy (CTE) is a progressive degenerative brain disease linked to repeated head trauma (both concussive and sub-concussive).
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Pathologically, it is characterized by abnormal tau protein accumulations in specific brain regions.
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Its symptoms may include mood swings, aggression, impulse control problems, memory loss, depression, and cognitive decline.
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Crucially, CTE can only be definitively diagnosed after death, by examining brain tissue directly.
Because of this postmortem requirement, the number of confirmed cases is limited—and researchers must be cautious about linking CTE to specific behaviors.
CTE in the NFL and Beyond
CTE has been most publicly studied in professional football, where repeated collisions are routine. Some key facts:
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In autopsies of former NFL players, hundreds have been found with CTE or related signs.
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The Boston University CTE Center has led many of these studies and brain banks.
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However, selection bias is a known issue: many brain donors come from those already suspected of CTE or neurological symptoms, so prevalence in the wider population is uncertain. BMC+1
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Lawsuits, policy changes in helmet technology, and concussion protocols have followed public recognition of CTE risk. National Institutes of Health (NIH)+2NYU Langone Health+2
CTE is no longer seen merely as a niche concern for retired athletes—it’s entering public discourse on brain health, contact sports, and youth exposure to trauma.
The NYC Shooting & Medical Findings
After the tragic shooting, investigators recovered a note in which Tamura blamed CTE, demanded his brain be studied, and singled out the NFL for alleged negligence. Business Insider+4Reuters+4AP News+4
On September 26, 2025, the New York City Office of Chief Medical Examiner released a statement: it found “unambiguous diagnostic evidence” of low-stage CTE in Tamura’s brain. Reuters+1
The phrase “low-stage” indicates relatively early or mild structural changes, not necessarily extensive degeneration. Nonetheless, this confirmation adds a new dimension to our understanding of the case.
Mental Health, Violence & Responsibility
It’s tempting to look at Tamura’s CTE diagnosis and conclude that the brain disease caused the violence. But the reality is far more nuanced:
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While CTE may impair emotional regulation, impulse control, and decision-making, it does not deterministically cause acts of mass violence.
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Many individuals with head trauma or even mild brain changes do not become violent.
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Mental illness, personality, life stressors, social supports, and other psychiatric conditions all interact in complex ways.
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Legal and moral responsibility remains a core principle in society, even when disease plays a contributing role.
Thus, while CTE may be a factor or an exacerbating influence, it cannot fully absolve someone of accountability.
Conclusion: Toward Awareness, Not Excuses
The confirmation that Shane Tamura had CTE forces us to confront uncomfortable truths: repeated brain trauma can reshape minds, and even low-stage disease may worsen vulnerability.
But tragedy does not serve science when we oversimplify. Instead, this case demands:
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Better brain health screening in contact sports
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Support systems for those struggling with head trauma
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Public investment in neuropathology research
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Ethical discourse around how we navigate violence, illness, and accountability
Let the victims and their families be remembered. Let science proceed with humility. And let us commit to a future where brain health is honored, not ignored.
FAQs
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What is CTE and how is it diagnosed?
CTE is a neurodegenerative disorder linked to repeated head trauma. It is definitively diagnosed only after death, by examining brain tissue and identifying characteristic tau protein changes. -
Did Shane Tamura have CTE?
Yes. The NYC medical examiner confirmed “unambiguous diagnostic evidence” of low-stage CTE in his brain. -
How is CTE linked to football?
Repeated concussions and sub-concussive impacts in football are among the leading risk factors for CTE. Many former NFL players have been diagnosed with the disease postmortem. -
Can CTE cause violent behavior?
The science is unsettled. CTE may increase risk for mood instability or impulse control issues, but not everyone with CTE becomes violent, and violence cannot be attributed solely to the disease. -
What is being done to prevent CTE in athletes?
Efforts include improved helmet design, stricter concussion protocols, research on safer training, and public awareness around youth head injuries.


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