I legitimately think that's part of the tragedy.
Like that Chinaman who killed and ate part of a carny on a Greyhound in Canada. His schizo psychosis told him the carny was a murderous alien in disguise and he had to eat the guy to survive. When he came out of the episode, he immediately told the cops that he wanted to die and to kill him. Canada doesn't believe in that shit so instead they got him on antipsychotics so that he became even more aware of what he had done and his memory of himself doing this became more vivid. Idk what they're doing with him now but I'm sure he still knows he'd be better off dead.
This guy, plus the eaten carny, plus carny's parents, plus the witnesses and first responders - horror, but also tragedy.