Maybe, or he might have risen to the top of an organized crime syndicate. But yeah, he could easily have been just the bully who dropped out of school and became a petty criminal who got caught and who died in some prison fight. The key question is whether his parents could have afforded to get him medical treatment for his mental health issues at an early age. If we're talking about the mental health care system in the US, his chances wouldn't have been good if his family had been poor.