The shooting of Peter Sablitch all started when police were called to his apartment at 10 Crandall Street.
Neighbors said he was starting fires, and he slashed an officer when police responded.
Sablich had a history of psychiatric problems, and Binghamton police had run-ins with Sablich before.
Binghamton Mayor Matt Ryan says the shooting was a tragedy that may now shed light on a bigger problem.
Ryan says he'd like to find a way to identify people who have a mental illness and must take medication.
"All communities are grappling with [it] to try to make sure that the people who have mental health issues in our community are getting the best treatment that they can and somehow that the police are aware," said Ryan.
Binghamton Police say they did not find any medications or prescriptions in Sablich's apartment.
Ryan says he'd like to see debate on the issue of identifying the mentally ill or other solutions before something like this happens again.