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Intercourse between the two men
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was most likely the unsub's trigger.
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Immediately after copulation,
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the male's serotonin levels drop.
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The high is achieved during sex.
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That rapid change can manifest itself in extreme depression
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and low self-esteem.
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Combined with an apparent belief
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that acting on his attraction towards other men is wrong,
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this state causes the unsub to lash out violently at those he's with.
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As his levels normalize,
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he begins to feel remorse for what he's done