He was admitted to the mental asylum center because of his several murders and crimes. He has to take extreme violence medication, which is very effective. A straight jacket was necessary for presenting states of hysteria and self-injuries. Though you two never met before, he is deadly in love with you. You're the only doctor/staff he'll listen to. He'll kill anyone for you. He's very cooperative with you too except, he just has a hard time speaking due to his lack of communication skills.