Mental illness, poverty haunted Afghan policewoman who killed American


KABUL (Reuters) - The Afghan policewoman suspected of killing a U.S. contractor at police headquarters in Kabul suffered from mental illness and was driven to suicidal despair by poverty, her children told Reuters on Wednesday.


The woman was identified by authorities as Narges Rezaeimomenabad, a 40-year-old grandmother and mother of three who moved here from Iran 10 years ago and married an Afghan man.


On Monday morning, she loaded a pistol in a bathroom at the police compound, hid it in her long scarf and shot an American police trainer, apparently becoming the first Afghan woman to carry out such an attack.


Narges also tried to shoot police officials after killing the American. Luckily for them, her pistol jammed. Her husband is also under investigation.


Her son Sayed, 16, and daughter Fatima, 13, described how they tried to call their parents 100 times after news broke of the shooting, then waited in vain for them to come home.


They recalled Narges's severe mood swings, and how at times she beat them and even pulled out a knife. But the children said she was consistent in bemoaning poverty.


"She was usually complaining about poverty. She was complaining to my father about our conditions. She was saying that my father was poor," Sayid said in an interview in their damp, cold two-room cement house.


On the floor beside him were his mother's prescriptions and a thick plastic bag filled with pills she tried to swallow to end the misery about a month ago. On another occasion, she cut her wrist with a razor, Sayed said.


"My father was usually calm and sometimes would say that she was guilty too because it wasn't a forced marriage. They fell in love and got married."


There was no sign in their neighborhood of the billions of dollars of Western aid that have poured into Afghanistan since the ouster of the Taliban in 2001, or of government investment.


RAW SEWAGE, STAGNANT WATER, DIRT ROADS


The lane outside their home stank of raw sewage.


Dirty, stagnant water filled holes in dirt roads nearby, where children in tattered clothes played and butchers stood by cow's hooves in shops choked by dust.


Afghanistan is one of the world's poorest nations, with a third of its 30 million residents living under the poverty line.


The sole distractions from the daily grind appeared to be a deck of playing cards and a compact disc with songs from Iranian pop singers, scattered on the floor of a room where Narges would lock herself in and weep, or sit in silence.


At times, Narges would try to focus on building her children's confidence, telling them to be guided by the Muslim holy book, the Koran, to tackle life's problems.


Sayed and Fatima said she never spoke badly of the U.S. presence in Afghanistan or of President Hamid Karzai's government.


Neighbor Mohammad Ismail Kohistani was dumbfounded to hear on the radio that Afghan officials were combing Narges' phone records to try to determine whether al Qaeda or the Taliban could have brainwashed her into carrying out a mission.


But he was acutely aware of her mental problems and often heard her scream at her husband, whose low-level job in the crime investigation unit of the police brought home little cash.


Kohistani, who operates a small sewing shop with battered machines, never imagined his neighbor could be accused of a high-profile attack that raised new questions about the direction of an unpopular war.


"I became very depressed and sad," said Kohistani, sitting on the floor few feet from a tiny wood-burning stove in Narges's home, alongside family photographs and a police training manual.


Fatima would often seek refuge in Kohistani's house when her mother's behavior became unbearable. "She did not hate us, but usually she was angry and would not talk to us," said Fatima, her eyes moist with tears.


Nevertheless, she missed her mother. The children were staying with a cousin.


"I ask the government to free my mother, otherwise our future will be destroyed," said Fatima.


Officials described it as another "insider shooting", in which Afghan forces turn on Westerners they are meant to be working with to stabilize the country. There have been over 52 such attacks so far this year.


The shooting at the police headquarters may have alarmed Afghanistan's Western allies. But some Afghans have grown numb to the violence.


Kohistani's 70-year-old father Omara Khan, who sports a white beard, sat twirling prayer beads beneath a photograph of Narges in a black veil beside one of her husband.


Asked what he thought of the attack, he laughed.


"This is common in Afghanistan," said Khan, who lived through decades of upheaval, including the 10-year Soviet occupation and a civil war that destroyed half of Kabul and killed some 50,000 civilians.


"People are killed every day."


(Editing by Ron Popeski)



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Indian rape victim arrives in S'pore for further treatment






SINGAPORE: An Indian student who was left fighting for her life after being gang-raped in New Delhi has arrived at Singapore's Mount Elizabeth Hospital for further treatment.

The patient arrived at the hospital's Intensive Care Unit at 9.05am in extremely critical condition, said the hospital's spokesperson on Thursday.

The hospital is working with the Indian High Commission, and has requested that the privacy of the patient and the family be respected.

The 23-year-old, whose attack sparked protests across India, had been transferred from the Safdarjung hospital in central Delhi to Medanta hospital in Gurgaon, close to the city's international airport, before being flown to Singapore.

"The decision was taken this morning at cabinet," a source at Safdarjung told AFP early Thursday. "Her mother and father are with her."

The government had earlier announced it was setting up a special commission of inquiry after the gang-rape on December 16 when the woman was allegedly tricked into boarding a bus by six men who then took turns to assault her.

The group also attacked her with an iron bar before throwing her out of the vehicle, along with a male companion.

Six suspects have been arrested in connection with the attack and have been remanded in custody.

- CNA/AFP/al



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Gulvez thought NCC would help him become a cop

NEW DELHI: By the time Gulvez Ahmad reached the final year of his B Com Honours course, he had changed his mind. He had joined the NCC in school thinking it would boost his chances in a career in policing . But when his father, Kafeel Ahmad, saw him off on December 21, he was looking forward finishing college and joining an MBA programme . Ahmad was one of the five students from the Delhi unit of the National Cadet Corps who drowned in the Periyar at Kochi on Wednesday . The others are Dilshad Alam, Tabish Baqri, Mohammad Zeeshan and Hemanth Kumar.

"He was called Hafiz," says Ahmad's uncle, Faheemuddin, "It means one who has learnt the Quran by heart. He was austere like a maulavi" But Ahmad, a student of Shaheed Bhagat Singh College , was a sharp one as well. Neighbours say he brought home awards and shields, was the "brightest of them all" and was expected to shine more. The news reached his home in Old Govindpura before his father, an embroiderer , did. "He was so young. I even accompanied to the railway station the day he left," says an inconsolable Kafeel Ahmad. Of the 96 cadets attending the trekking camp in Kochi, 53 were from Delhi.

"We've been trying to talk to him on the phone since morning but somebody would disconnect. In the evening, his mobile was switched off," says Dilshad Alam's mother. Dilshad's family was told that two of the five kids had slipped into the river and the other three had been trying to rescue them. "Dilshad could not swim," says his sister Ayesha Jabeen. He, along with Tabish and Zeeshan were engineering students at Jamia Millia Islamia University . Tabish and Zeeshan, were from Uttar Pradesh; Dilshad's family, is based close to the university , in Zakir Nagar. Alam's mother always checked on him when he went out on trips and this was his first one out of the state with the NCC. His father, Khursheed Alam, doesn't hold a steady job and is away most of the time. There was a lot riding on Dilshad's engineering degree.

Baqri came to Delhi from Amroha in Uttar Pradesh three years ago. His younger brother Danish - Baqri was one of six siblings - is concerned about the arrival of his body. "He called us four to five days ago to tell us he is leaving for the trip. My parents are devastated . They have fallen silent," says Danish. They heard of the tragedy on Wednesday evening. Mohammad Zeeshan, another engineering student at Jamia, was from Uttar Pradesh too. The only school student among the casualties was Hemanth Kumar, a student of Government Boys Senior Secondary School at GBlock , Kalkaji.

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Predicting who's at risk for violence isn't easy


CHICAGO (AP) — It happened after Columbine, Virginia Tech, Aurora, Colo., and now Sandy Hook: People figure there surely were signs of impending violence. But experts say predicting who will be the next mass shooter is virtually impossible — partly because as commonplace as these calamities seem, they are relatively rare crimes.


Still, a combination of risk factors in troubled kids or adults including drug use and easy access to guns can increase the likelihood of violence, experts say.


But warning signs "only become crystal clear in the aftermath, said James Alan Fox, a Northeastern University criminology professor who has studied and written about mass killings.


"They're yellow flags. They only become red flags once the blood is spilled," he said.


Whether 20-year-old Adam Lanza, who used his mother's guns to kill her and then 20 children and six adults at their Connecticut school, made any hints about his plans isn't publicly known.


Fox said that sometimes, in the days, weeks or months preceding their crimes, mass murderers voice threats, or hints, either verbally or in writing, things like "'don't come to school tomorrow,'" or "'they're going to be sorry for mistreating me.'" Some prepare by target practicing, and plan their clothing "as well as their arsenal." (Police said Lanza went to shooting ranges with his mother in the past but not in the last six months.)


Although words might indicate a grudge, they don't necessarily mean violence will follow. And, of course, most who threaten never act, Fox said.


Even so, experts say threats of violence from troubled teens and young adults should be taken seriously and parents should attempt to get them a mental health evaluation and treatment if needed.


"In general, the police are unlikely to be able to do anything unless and until a crime has been committed," said Dr. Paul Appelbaum, a Columbia University professor of psychiatry, medicine and law. "Calling the police to confront a troubled teen has often led to tragedy."


The American Academy of Child & Adolescent Psychiatry says violent behavior should not be dismissed as "just a phase they're going through."


In a guidelines for families, the academy lists several risk factors for violence, including:


—Previous violent or aggressive behavior


—Being a victim of physical or sexual abuse


—Guns in the home


—Use of drugs or alcohol


—Brain damage from a head injury


Those with several of these risk factors should be evaluated by a mental health expert if they also show certain behaviors, including intense anger, frequent temper outbursts, extreme irritability or impulsiveness, the academy says. They may be more likely than others to become violent, although that doesn't mean they're at risk for the kind of violence that happened in Newtown, Conn.


Lanza, the Connecticut shooter, was socially withdrawn and awkward, and has been said to have had Asperger's disorder, a mild form of autism that has no clear connection with violence.


Autism experts and advocacy groups have complained that Asperger's is being unfairly blamed for the shootings, and say people with the disorder are much more likely to be victims of bullying and violence by others.


According to a research review published this year in Annals of General Psychiatry, most people with Asperger's who commit violent crimes have serious, often undiagnosed mental problems. That includes bipolar disorder, depression and personality disorders. It's not publicly known if Lanza had any of these, which in severe cases can include delusions and other psychotic symptoms.


Young adulthood is when psychotic illnesses typically emerge, and Appelbaum said there are several signs that a troubled teen or young adult might be heading in that direction: isolating themselves from friends and peers, spending long periods alone in their rooms, plummeting grades if they're still in school and expressing disturbing thoughts or fears that others are trying to hurt them.


Appelbaum said the most agonizing calls he gets are from parents whose children are descending into severe mental illness but who deny they are sick and refuse to go for treatment.


And in the case of adults, forcing them into treatment is difficult and dependent on laws that vary by state.


All states have laws that allow some form of court-ordered treatment, typically in a hospital for people considered a danger to themselves or others. Connecticut is among a handful with no option for court-ordered treatment in a less restrictive community setting, said Kristina Ragosta, an attorney with the Treatment Advocacy Center, a national group that advocates better access to mental health treatment.


Lanza's medical records haven't been publicly disclosed and authorities haven't said if it is known what type of treatment his family may have sought for him. Lanza killed himself at the school.


Jennifer Hoff of Mission Viejo, Calif. has a 19-year-old bipolar son who has had hallucinations, delusions and violent behavior for years. When he was younger and threatened to harm himself, she'd call 911 and leave the door unlocked for paramedics, who'd take him to a hospital for inpatient mental care.


Now that he's an adult, she said he has refused medication, left home, and authorities have indicated he can't be forced into treatment unless he harms himself — or commits a violent crime and is imprisoned. Hoff thinks prison is where he's headed — he's in jail, charged in an unarmed bank robbery.


___


Online:


American Academy of Child & Adolescent Psychiatry: http://www.aacap.org


___


AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner


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Toyota Agrees to $1B Settlement in Acceleration Case












Toyota has agreed to pay more than $1 billion to customers to settle a class action lawsuit that alleged its vehicles accelerated dangerously and without warning, according to statements by the carmaker and the plaintiffs' attorney.


The deal, which still needs approval by a federal judge in California, includes a $250 million fund to be paid to Toyota owners who sold their cars at a loss following reports of vehicle malfunctions, as well as the installation of a brake override system in about 3.25 million vehicles


An additional $250 million fund will be created to pay those owners whose vehicles are not eligible for the retrofitted brakes.






David Zalubowski/AP PHoto







Toyota recalled more than 14 million vehicles after reports of sudden, unexplained acceleration in several models began to surface between 2009 and 2010. There were also reports of brake problems with the Prius hybrid.


Toyota insists that it was not an electrical flaw that caused the acceleration problems, but driver error, floor mats and sticky gas pedals.


Both the National Highway Traffic Safety Administration and NASA have said there is nothing in wrong with programs that run the vehicles' onboard computers


"From the very start, this was a challenging case," said Steve Berman, the plaintiffs' lawyer. "We brought in automotive experts, physicists and some of the world's leading theoreticians in electrical engineering to help us understand what happened to drivers experiencing sudden acceleration."


The settlement also includes $30 million to be given to outside groups to study automotive safety.


In a statement, Toyota agreed to the deal.


"In keeping with our core principles, we have structured this agreement in ways that work to put our customers first and demonstrate that they can count on Toyota to stand behind our vehicles." said Toyota spokesman Christopher P. Reynolds.



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Egypt approves constitution drafted by Mursi allies


CAIRO (Reuters) - Egyptian voters overwhelmingly approved a constitution drafted by President Mohamed Mursi's allies, results announced on Tuesday showed, proving that liberals, leftists and Christians have been powerless to halt the march of Islamists in power.


Final elections commission figures showed the constitution adopted with 63.8 percent of the vote in the referendum held over two days this month, giving Mursi's Islamists their third straight electoral victory since veteran autocrat Hosni Mubarak was toppled in a 2011 revolution.


Opposition groups had taken to the streets to block what they see as a move to ram through a charter that mixes politics and religion dangerously and ignores the rights of minorities.


Mursi says the text - Egypt's first constitution since Mubarak's fall - offers enough protection for minorities, and adopting it quickly is necessary to end two years of turmoil and political uncertainty that has wrecked the economy.


"I hope all national powers will now start working together now to build a new Egypt," Murad Ali, a senior official in the Muslim Brotherhood's Freedom and Justice Party, told Reuters.


"I see this as the best constitution in Egypt's history."


In a sign that weeks of unrest have taken a further toll on the economy, the government ordered new restrictions on foreign currency apparently designed to prevent capital flight. Leaving or entering with more than $10,000 cash is now banned.


Two years since waves of unrest broke out across the Middle East and North Africa - sweeping away long-entrenched rulers in Tunisia, Libya and Yemen as well as Egypt - well-organized Islamist parties have emerged as the main beneficiaries.


Urban secularists and liberals who were behind the revolts complain that their success has been hijacked.


"We need a better constitution," said Khaled Dawood, an opposition spokesman. "It does not represent all Egyptians."


Mursi's opponents say the new constitution could allow clerics to intervene in lawmaking, while offering scant protections to minorities and women. Mursi dismisses those criticisms, and many Egyptians are fed up with street protest movements that have prevented a return to normality.


Immediately after the announcement, a small group of protesters set tires on fire and blocked traffic near the central Tahrir square, the cradle of Egypt's uprising, but there were no immediate signs of violence or major demonstrations.


Washington, which provides billions of dollars a year in military and other support for Egypt and regards it as a pillar of security in the Middle East, called on Egyptian politicians to bridge divisions and on all sides to reject violence.


"President Mursi, as the democratically elected leader of Egypt, has a special responsibility to move forward in a way that recognizes the urgent need to bridge divisions," State Department spokesman Patrick Ventrell said. He noted that many Egyptians had voiced "significant concerns" over the constitutional process.


WORSENING ECONOMY


The government says its opponents are worsening the economic crisis by prolonging political upheaval. It has pledged to impose unpopular tax increases and spending cuts to win a loan package from the International Monetary Fund.


The ban on travelling with more than $10,000 in cash followed a pledge by the central bank to take unspecified measures to protect Egyptian banks. Some Egyptians have begun withdrawing their savings in fear of more restrictions.


"I am not going to put any more money in the bank and neither will many of the people I know," said Ayman Osama, father of two young children.


He said he had taken out the equivalent of about $16,000 from his account this week and planned to withdraw more, adding that he had also told his wife to buy more gold jewellery.


The "yes" vote paves the way for a parliamentary election in about two months, setting the stage for another battle between surging Islamists and their fractious opponents.


The final result, announced by the election commission, matched - to the last decimal place - an earlier unofficial tally announced by Mursi's Muslim Brotherhood.


But the opposition said it was disappointed - it had appealed for the result to be amended to reflect what it described as major vote violations during the two-round vote.


Officials said there were no violations serious enough to change the result significantly. "We have seriously investigated all the complaints," said judge Samir Abu el-Matti of the Supreme Election Committee. The final turnout was 32.9 percent.


SENSE OF CRISIS


The referendum has sharpened painful divisions in the Arab world's most populous nation and a growing atmosphere of crisis has gripped Egypt's polarized society.


Anxiety about the economy deepened this week when Standard and Poor's cut Egypt's long-term credit rating. Prime Minister Hisham Kandil told the nation of 83 million on Tuesday the government was committed to fixing the economy.


"The main goals that the government is working towards now is plugging the budget deficit, and working on increasing growth to boost employment rates, curb inflation, and increase the competitiveness of Egyptian exports," he said.


The referendum follows Islamist victories in parliamentary and presidential elections, representing a decisive shift in a country at the heart of the Arab world where Mursi's Muslim Brotherhood was suppressed for generations by military rulers.


However, secularist and liberal opposition members hope they can organize better in time for the next parliamentary vote.


Hossam El-Din Ali, a 35-year-old newspaper vendor in central Cairo, said he agreed the new constitution would help bring some political stability but like many others he feared the possible economic austerity measures lying ahead.


"People don't want higher prices. People are upset about this," he said. "There is recession, things are not moving. But I am wishing for the best, God willing."


(Additional reporting by Patrick Werr, Tamim Elyan, Ahmed Tolba and Marwa Awad; Writing by Maria Golovnina)



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'Yak insurance' plan saving Nepal's snow leopard






KATHMANDU: The remorse felt by Himali Chungda Sherpa after he killed three snow leopard cubs in retaliation for his lost cattle inspired him to set up a scheme to prevent other herders from doing the same.

Sherpa lost his cattle near Ghunsa village at the base of Mount Kangchenjunga on the Nepal-India border, later finding their remains in a cave beside three sleeping snow leopard cubs.

The Nepalese herder put the cubs in a sack and threw them into the river, finding their bodies the next day.

"From that night onwards the mother snow leopard started crying from the mountain for her cubs, and my cattle were crying for the loss of their calves."

"I realised how big a sin I had committed and promised myself that I would never do such a thing in the future."

Four years ago Sherpa, 48, founded with other locals an insurance plan for livestock that conservationists say is deterring herders from killing snow leopards that attack their animals.

In doing so the scheme has given hope for the endangered cat, whose numbers across the mountains of 12 countries in south and central Asia are thought to have declined by 20 percent over the past 16 years.

Under the scheme, herders pay in 55 rupees a year for each of their hairy yaks, the vital pack animal that is also kept for milk and meat, and are paid 2,500 rupees for any animal killed by the endangered cat.

"The (Himalayan) communities have been able to pay out compensation for more than 200 animals since the scheme started," WWF Nepal conservation director Ghana Gurung told reporters at a presentation in the capital Kathmandu.

"The community members are the ones that monitor this, they are the ones who do the patrolling and they are the ones who verify the kills."

The global snow leopard population is estimated at just 4,080-6,590 adults according to the International Union for Conservation of Nature, which lists the animal as "endangered" on its red list of threatened species.

Experts believe just 300 to 500 adults survive in Nepal, and few can claim ever to have seen the secretive, solitary "mountain ghost", which lives 5,000 to 6,000 metres above sea level.

Despite its name, it is not a close relative of the leopard and has much more in common genetically with the tiger, though it is thought to have a placid temperament.

"There has never been a case of a snow leopard attacking a human," Gurung said of the animal, revered for its thick grey patterned pelt.

It does, however, have a taste for sheep, goats and other livestock essential for the livelihoods of farmers and is often killed by humans either as a preventative measure or in revenge for the deaths of their animals.

WWF Nepal revealed details of its insurance scheme in filmed interviews shown at the recent Kathmandu International Mountain Film Festival.

Sherpa now campaigns to convince Himalayan farmers that killing snow leopards is wrong, but has been frequently told they need to kill the animal to protect their livelihoods.

"I swear if I can catch a snow leopard. They rob our animals and our source of livelihood," herder Chokyab Bhuttia told the WWF.

The insurance plan, which also covers sheep and goats, was set up with 1.2 million rupees donated by the University of Zurich.

Since the Kangchenjunga Conservation Area Snow Leopard Insurance plan was launched four years ago no snow leopard is thought to have been killed in retaliation for preying on livestock since.

Locals, who count the number of cattle attacked as well as tracks, faecal pellets and scratches in the ground, believe snow leopard numbers have significantly increased.

"There is now an awareness among people that the snow leopard is an endangered animal and we have to protect it. The insurance policy has made people more tolerant to the loss of their livestock," Sherpa said.

He believes protecting the snow leopard is vital to boosting the economy in an area which gets just a few hundred trekkers a year, compared with 74,000 in Annapurna.

"If a tourist sees a snow leopard and takes a picture of it there will be publicity of our region and more tourists will come," Sherpa said.

Evidence of the scheme's benefits will remain anecdotal until the publication next year of the results of a wide-ranging camera trapping survey.

But locals are optimistic about the animal's future, according to Tsheten Dandu Sherpa, chairman of the Kangchenjunga Conservation Area Management Council.

"In this area there was never any poaching of snow leopards for trade. They were killed only as a retaliatory act by livestock owners," he said.

"Now with this insurance policy there will definitely be protection of the snow leopard and its numbers will increase."

-AFP/fl



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B S Yeddyurappa threatens to pull down Karnataka government

BANGALORE: A day after the ruling BJP in Karnataka sacked 30 of his followers, former chief minister and Karnataka Janata Party president B S Yeddyurappa on Tuesday threatened to destabilize the government. He said he would meet governor HR Bhardwaj with the request to ask the government to prove its majority.

"The government has been reduced to a minority. Chief minister Jagadish Shettar has no moral right to continue. I will apprise the governor of the situation," BSY told reporters in Mysore.

On Monday night, Shettar and state BJP chief KS Eshwarappa acted tough by sacking BSY followers, who were heading state-run boards and corporations, on charges of anti-party activities.

An upset BSY challenged Shettar stating that if the CM was confident of regaining power, he should dissolve the assembly and seek fresh mandate. "Let people decide who is fit enough to rule them," he said. "I will soon convene a meeting of my followers and decide the future course of action," BSY added.

BSY's plan to meet the governor is seen as a strategy to stall Shettar from presenting the budget.

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Predicting who's at risk for violence isn't easy


CHICAGO (AP) — It happened after Columbine, Virginia Tech, Aurora, Colo., and now Sandy Hook: People figure there surely were signs of impending violence. But experts say predicting who will be the next mass shooter is virtually impossible — partly because as commonplace as these calamities seem, they are relatively rare crimes.


Still, a combination of risk factors in troubled kids or adults including drug use and easy access to guns can increase the likelihood of violence, experts say.


But warning signs "only become crystal clear in the aftermath, said James Alan Fox, a Northeastern University criminology professor who has studied and written about mass killings.


"They're yellow flags. They only become red flags once the blood is spilled," he said.


Whether 20-year-old Adam Lanza, who used his mother's guns to kill her and then 20 children and six adults at their Connecticut school, made any hints about his plans isn't publicly known.


Fox said that sometimes, in the days, weeks or months preceding their crimes, mass murderers voice threats, or hints, either verbally or in writing, things like "'don't come to school tomorrow,'" or "'they're going to be sorry for mistreating me.'" Some prepare by target practicing, and plan their clothing "as well as their arsenal." (Police said Lanza went to shooting ranges with his mother in the past but not in the last six months.)


Although words might indicate a grudge, they don't necessarily mean violence will follow. And, of course, most who threaten never act, Fox said.


Even so, experts say threats of violence from troubled teens and young adults should be taken seriously and parents should attempt to get them a mental health evaluation and treatment if needed.


"In general, the police are unlikely to be able to do anything unless and until a crime has been committed," said Dr. Paul Appelbaum, a Columbia University professor of psychiatry, medicine and law. "Calling the police to confront a troubled teen has often led to tragedy."


The American Academy of Child & Adolescent Psychiatry says violent behavior should not be dismissed as "just a phase they're going through."


In a guidelines for families, the academy lists several risk factors for violence, including:


—Previous violent or aggressive behavior


—Being a victim of physical or sexual abuse


—Guns in the home


—Use of drugs or alcohol


—Brain damage from a head injury


Those with several of these risk factors should be evaluated by a mental health expert if they also show certain behaviors, including intense anger, frequent temper outbursts, extreme irritability or impulsiveness, the academy says. They may be more likely than others to become violent, although that doesn't mean they're at risk for the kind of violence that happened in Newtown, Conn.


Lanza, the Connecticut shooter, was socially withdrawn and awkward, and has been said to have had Asperger's disorder, a mild form of autism that has no clear connection with violence.


Autism experts and advocacy groups have complained that Asperger's is being unfairly blamed for the shootings, and say people with the disorder are much more likely to be victims of bullying and violence by others.


According to a research review published this year in Annals of General Psychiatry, most people with Asperger's who commit violent crimes have serious, often undiagnosed mental problems. That includes bipolar disorder, depression and personality disorders. It's not publicly known if Lanza had any of these, which in severe cases can include delusions and other psychotic symptoms.


Young adulthood is when psychotic illnesses typically emerge, and Appelbaum said there are several signs that a troubled teen or young adult might be heading in that direction: isolating themselves from friends and peers, spending long periods alone in their rooms, plummeting grades if they're still in school and expressing disturbing thoughts or fears that others are trying to hurt them.


Appelbaum said the most agonizing calls he gets are from parents whose children are descending into severe mental illness but who deny they are sick and refuse to go for treatment.


And in the case of adults, forcing them into treatment is difficult and dependent on laws that vary by state.


All states have laws that allow some form of court-ordered treatment, typically in a hospital for people considered a danger to themselves or others. Connecticut is among a handful with no option for court-ordered treatment in a less restrictive community setting, said Kristina Ragosta, an attorney with the Treatment Advocacy Center, a national group that advocates better access to mental health treatment.


Lanza's medical records haven't been publicly disclosed and authorities haven't said if it is known what type of treatment his family may have sought for him. Lanza killed himself at the school.


Jennifer Hoff of Mission Viejo, Calif. has a 19-year-old bipolar son who has had hallucinations, delusions and violent behavior for years. When he was younger and threatened to harm himself, she'd call 911 and leave the door unlocked for paramedics, who'd take him to a hospital for inpatient mental care.


Now that he's an adult, she said he has refused medication, left home, and authorities have indicated he can't be forced into treatment unless he harms himself — or commits a violent crime and is imprisoned. Hoff thinks prison is where he's headed — he's in jail, charged in an unarmed bank robbery.


___


Online:


American Academy of Child & Adolescent Psychiatry: http://www.aacap.org


___


AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner


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Christmas Tornadoes Tear Across South













A nasty Christmastime storm system spawned blizzard conditions in some states and at least 15 reported tornadoes in the South, damaging homes, taking out power lines and dangerously snarling holiday travel.


Severe weather swept across the United States during the Christmas holiday, bringing tornadoes and intense thunderstorms to the Gulf Coast, while dumping heavy snow and freezing rain on the Southern Plains.


At least 15 tornadoes were reported today from Texas to Alabama, putting this storm system potentially on track to be one of the largest Christmas day tornado outbreaks on record.


One large tornado was reported in Mobile, Ala., where there are about 19,000 customers without power and 23,429 statewide, according to Alabama Power. Kerry Burns, a Mobile resident originally from Boston, said the storm "sounded like a freight train."


Some buildings in the area, including some churches and a local high school, were reportedly damaged. Ray Uballe, another Mobile resident, said his dad was shaken up.


"He was in his apartment," Uballe said. "He said it sounded like an airplane and then the door flung open and then there was just debris flying."


Douglas Mark Nix, president of the Infirmary Health System, said one of their Mobile hospitals lost power and sustained damage. There were no early reports of injuries to staff or patients.


"We are operating now on generator power," he said. "We do not have substantial damage but we do have a number of windows out and we have some ceiling tiles down, throughout the facility at the main hospital.


"We can run for at least two weeks but I saw power crews out all over the city so I fully expect power to be restored within the next day or so," Nix added.






Melinda Martinez/The Daily Town Talk/AP Photo















Winter Weather Causes Holiday Travel Problems Watch Video





At least eight states were issued blizzard warnings today, as the storms made highways dangerously slick heading into one of the busiest travel days of the year.


Oklahoma got about 7 inches of snow all over the state making for treacherous road conditions. ABC News affiliate KOCO-TV in Oklahoma City said the weather was being blamed for a 21-vehicle wreck on Interstate 40, but no one was seriously injured.


Ice accumulation in Arkansas bent trees and power lines, leaving at least 50,000 customers across the state without power. About 10 inches of snow fell on Fayetteville, Ark.


The storms, which first wreaked havoc on the West Coast before moving east, are being blamed for at least one death in Texas.


Investigators in the Houston area told ABC state KTRK-TV in Houston that a young man was trying to move a downed tree that was blocking the roadway when another one snapped and fell on top of him. He was later pronounced dead at a hopsital.


The last time a number of tornadoes hit the Gulf Coast area around Christmas Day was in 2009, when 22 tornadoes struck on Christmas Eve morning, National Weather Service spokesman Chris Vaccaro told ABC News over email.


The deadliest Christmastime tornado outbreak on record was Dec. 24 to 26, 1982, when 29 tornadoes in Oklahoma, Missouri, Arkansas, Tennessee and Mississippi killed three people and injured 32.


The last killer tornado around Christmas, Vaccaro said, was a Christmas Eve EF4 in Tennessee in 1988, which killed one person and injured seven. EF4 tornadoes can produce winds up to 200 mph.


No official word yet on the strength of the string of tornadoes reported today.


While some were preparing for a Christmas feast, others were hunkered down.


More than 180 flights nationwide were canceled by midday, according to the flight tracker FlightAware.com. More than half were canceled by American Airlines and its regional affiliate, American Eagle.


The storm system is expected to continue east into Georgia and the Carolinas Wednesday and could potentially spawn more tornadoes, according to the National Weather Service.


ABC News' Matt Gutman, Max Golembo and ABC News Radio contributed to this report.



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