Every time a dev loses their Patreon, someone will always report the dev. You'll be surprised at the number of devs who report another dev. Generally, they're the ones who use alts to increase their game's rating or make fake comments.
Young people find it easier to separate violent games from reality than sex games (or porn) from reality. I having been involved in the sex industry, many, even growing up, saw their sexual needs or expectations as too great compared to real life, which caused them many relationship problems.
A mass shooting will of course make more noise than relationship problems in the media.
People who had a wife and children but still left everything behind to find a more exotic sex life. I've seen many women swap partners in swingers clubs (I don't know if this is the right word in English) to please their husbands. Were they forced? I couldn't say specifically, but from talking to their husbands or men, many say that porn has formatted their brains on how sex should be.
Personally, my favorite porn categories have become real-life fantasies, and GTA is one of my favorite games but I still don't want to kill anyone