I can't read minds, but maybe had they been given a little compassion or someone to talk to, they would be that type of person.
for many, they would much rather not, considering, as you said, it'll remove their self contained delusions of grandeur or snowflake-status. they'd much rather allow themselves to be their own echo chamber until it ends in blood rather than actually get resolution in their lives. those cases are rather rare, but, as you can see, we hear them the most because it's the ones that end up killing people.