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You would be a good teacher for doing so. Pulling Johnny aside and saying, "is everything okay at home" is just good teaching. Turning him over to the authorities because he likes to write about violence would not be.
Good analogy with the family doctor and bruising. I like that.
The difference here is that we are talking about something that may happen in the future. If Johnny shows up with bruises, something may have happened to him. It's much more difficult to predict whether Johnny will have bruises in the future due to abuse.
Also, keep in mind that the killers death is also tragic, even though it may be perceived as "just" and "deserved." To some extent a solution here would also protect the killer from himself.
I'm still a fan of a risk scale. Once you get stalking complaints, I believe it's appropriate to start a file on someone and start assessing potential risks and making sure that a student is "ok" and if counseling is needed, that there is some kind of follow-up that it is really taking place. Having files on who might be a risk could also help but involves a balance of privacy and safety.
Another solution might be to design schools so that it is more difficult to kill people there once the mass murder is in progress. Maybe the police could activate an strong sprinkler or fog system that would make it hard for the killer to see potential victims. Of course, then the police would need night vision goggles to see the killer, so it could be a problem. Better design of exits could also help I guess (make it impossible to chain the doors shut from the outside). While you might think there is really nothing we can do, I'm not so pessimistic about making improvements. I'm also not sure that students need to wear bullet-proof vests to school. I hope we aren't just waiting around for the next mass-murder at a school