Okla. Senator Could Prevent Gun Control Changes

If there's one person most likely to keep new gun-control measures from passing Congress swiftly, it's Sen. Tom Coburn.

Conservatives revere the Oklahoma Republican for his fiscal hawkishness and regular reports on government waste. But he's also a staunch gun-rights advocate, and he's shown a willingness to obstruct even popular legislation, something in the Senate that a single member can easily accomplish.

That mixture could make Coburn the biggest threat to quick passage of new gun-control laws in the aftermath of the Newtown, Conn., shooting that has prompted even pro-gun NRA-member lawmakers like Sen. Joe Manchin, D-W.Va., to endorse a new look at how access to the most powerful weapons can be limited.

Coburn's office did not respond to multiple requests to discuss the current push for gun legislation. But given his record, it's hard to imagine Coburn agreeing to a major, new proposal without some fuss.

The last time Congress considered a major gun law -- one with broad support -- Coburn held it up, proving that the details of gun control are sticky when a conservative senator raises unpopular objections, especially a senator who's joked that it's too bad he can't carry a gun on the Senate floor.

After the Virginia Tech massacre in 2007, Congress heard similar pleadings for new gun limits, some of them similarly to those being heard now. When it came to light that Seung-Hui Cho, the mentally disturbed 23-year-old who opened fire on campus, passed a background check despite mental-health records indicating he was a suicide threat, a push began to include such records in determining whether a person should be able to buy a gun.

Rep. Carolyn McCarthy, D-N.Y., a longtime gun-control advocate whose husband was killed in a mass shooting on the Long Island Rail Road in 1996, introduced a widely supported bill to do just that. The NRA backed her National Instant Check System Improvement Amendments Act of 2007.

But Coburn didn't. The senator blocked action on the bill, citing concerns over patient privacy, limited gun access for veterans, and the cost of updating the background-check system,

In blocking that bill, Coburn pointed to a government study noting that 140,000 veterans had been referred to the background-check registry since 1998 without their knowledge.

"I am certainly understanding of the fact that some veterans could be debilitated to the point that such cataloguing is necessary, but we should ensure this process does not entangle the vast majority of our combat veterans who simply seek to readjust to normal life at the conclusion of their tours. I am troubled by the prospect of veterans refusing necessary treatment and the benefits they are entitled to. As I'm sure you would agree we cannot allow any stigma to be associated with mental healthcare or treatment of Traumatic Brain Injury," Coburn wrote to acting Veterans Secretary Gordon Mansfield.

Coburn succeeded in changing the legislation, negotiating a set of tweaks that shaved $100 million over five years, made it easier for prohibited gun owners to restore their gun rights by petitioning the government, and notifying veterans that if they abdicated control of their finances they would be added to the gun database. The bill passed and President Bush signed it in January 2008.

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Spring Wish denied as suicide bomber brings down Afghan juice empire

KABUL (Reuters) - When a Taliban suicide bomber killed two people on the edge of the Afghan capital this month, there was another casualty - a global fruit juice business optimistically called "Spring Wish" which provided work for thousands of farmers across the country.

Mustafa Sadiq's empire had been expanding healthily, bringing in badly needed foreign capital, before the attack inflicted the kind of financial loss cash-strapped Afghanistan can ill afford.

The pomegranate juice business was nearly wiped out in the split second it took the militant to detonate explosives in a truck parked near the factory on December 17.

Pieces of shredded metal were scattered everywhere. Chairs were hurled across the office where Sadiq had spent so much time figuring out how to beat the odds against decades of war, instability and hopelessness.

Sadiq was in Dubai drumming up new export deals when an assistant called with the bad news. The call that Sadiq said he did not get is also troubling him.

"So far no officials, for the sake of sympathy, have called us," Sadiq, 40, told Reuters, standing beside a year's supply of juice in containers that were ruined in the attack - nearly $10 million in losses overall.

"In this situation they should have called me and asked what kind of help they could provide. The agriculture, finance, commerce ministries. Nobody so far has visited or called."

The impact of the war, and expectations for the future, are often seen only through the eyes of Western or Afghan soldiers, or officials who point to the progress that has been made.

Sadiq offers another perspective. Some workers told him the bomber triggered the loudest blast they had heard in 30 years.

A Soviet invasion of Afghanistan in 1979 was followed by a decade of resistance by mujahideen fighters who drove them out. Then warlords carved out fiefdoms and destroyed half of the capital in the civil war that followed.

DIRTY POLITICS

The Taliban took over, were toppled in 2001 and are now raising fears they may return when U.S.-led NATO troops hand over security to Afghan forces in 2014.

But Sadiq does not see the Taliban as the biggest threat to Afghanistan's future. Instead, he says, officials have turned politics into a commercial enterprise driven by corruption.

"Government employees think it's time to fill their pockets and grab whatever they can. That will pave the way for civil war," said Sadiq, as workers feverishly loaded boxes of the little fruit juice left onto a truck, and others worked to rebuild a brick wall.

"You have to struggle, not run away. It is kind of like running away now. They have walls around themselves sitting there and they do not have contact with ordinary Afghans."

His disillusionment is shared by the Afghanistan Chamber of Commerce and Industries.

"There is no guarantee for investment in Afghanistan. People are afraid of the government, there is no rule of law. Government officials can do anything they want," the chamber's first vice-chairman, Jan Alokzai, told Reuters.

"President (Hamid) Karzai's words are only on paper and don't have any value."

Afghanistan's U.S.-backed government says it is committed to building up the economy, attracting foreign investment and helping Afghans secure a brighter future. Karzai says it is contracts with foreigners that spread graft.

WISHFUL THINKING?

The government has highlighted 2014 as a year to invest in Afghanistan, which relies heavily on foreign aid, and to take advantage of its cheap labor and land leases.

In each of the 10 years following 2014, the government hopes revenues from oil, natural gas, iron, copper and other mining ventures will generate $4 billion in revenue.

Sadiq spent time in Europe, waiting for an opportunity to return and invest in his homeland. He eventually opened a factory in an industrial park along Kabul's dusty Jalalabad Road in 2008, from where he broke into overseas markets.

Spring Wish, which employed about 1,000 people, was selling produce to the health conscious in Europe, Asia and the Middle East, bringing money into Afghanistan, while anxious Afghans carted $4.5 billion in cash out of the country last year to safety.

But when asked about the maps on a wall identifying parts of Afghanistan which offer opportunities for farmers and businesses like his, Sadiq could only put his head in his hands and cry.

The dark red seeds from Sadiq's fruits were prized in Europe for their antioxidant qualities, and in Japan where many believe they can help fight cancers. He seems most proud of the fact that he helped 40,000 farmers across Afghanistan earn a living.

As Sadiq tries to persuade his staff to keep dreaming big and to rebuild, one question may haunt him for some time. The suicide bomber parked his truck in a lane between his company and a foreign firm.

The Taliban said it attacked an American company next door, but he still wonders whether his factory, which relied on Italian machinery and benefited from U.S. aid programs, was the target. And he acknowledges he is desperate for money from Western donors.

"Around 120 people were working here and this factory was totally destroyed in the suicide attack," said Mohammed Jaw, 28, a general operator for the company. "A number of our workers will lose their jobs and now everyone is concerned about what happens next."

Despite the loss, Sadiq's entrepreneurial and marketing spirit seems intact.

"Have you tried the juice with mulberry flavor?" he asked proudly. "It's really good."

Then a worker brought the moment back to reality. He lifted his cellphone to show a photograph of the suicide bomber's severed head.

(Additional reporting by Mirwais Harooni; Editing by Nick Macfie)

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KKH to implement all recommendations by committee in baby mix-up case

SINGAPORE: A review committee has come up with 15 recommendations to prevent another baby mix-up at KK Women's and Children's Hospital (KKH).

Two newborn babies were wrongly discharged to their mothers in an incident in November.

The measures involve tightening processes regarding identification of newborns, ward operations, the discharge process, and implementing new technology.

There will be two staff involved in the tagging and re-tagging of babies at all times. Parents will verify the baby's particulars.

The way a baby is tagged will be refined to ensure that the tag does not drop off easily.

There will also be proper documentation for tracking the movement of babies in and out of the nursery.

At a media conference on Wednesday, Chief Executive Officer of KKH Professor Kenneth Kwek said the hospital has accepted all the recommendations made by the four-member committee, and they will be implemented by the end of next month.

Most of the recommendations made had already been acted on and implemented within a week of the incident.

The hospital will act on the remaining recommendations by the end of January.

Professor Kwek also said 17 people involved in the incident have been taken to task.

Three staff nurses directly involved in the mix-up have received disciplinary action. They received written warnings, were suspended from work for a week with no pay, and have been taken out of clinical duties for at least three months.

They will be closely supervised and their performance reviewed for at least six months.

Fourteen ward staff involved also received warnings or counselling.

Professor Kwek said the hospital extended an offer of compensation to the parents over and beyond the cost of their stay, but would not give further details.

The committee noted that the mix-up was triggered when the babies were placed in wrong cots. This resulted in a wrong identification tag being applied to one baby.

KKH earlier said the incident came to light when one of the parents noticed that the baby taken home wore an identification tag belonging to another mother.

The hospital suspected that checks were not carried out properly when the baby was being discharged. The other baby was with the wrong parents for about 10 hours.

- CNA/de

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Team Anna blames Arvind's party for disabling IAC mailing list

NEW DELHI: Anna Hazare's India Against Corruption (IAC) has accused Arvind Kejriwal's Aam Admi Party (AAP) of disabling its mailing list for which they had earlier blamed "hackers affiliated to the government".

"It is orchestrated by Team Arvind because we recently circulated some messages about Aam Aadmi Party (AAP) workers beating a cop to death. We also circulated another message about Kiran Bedi and us terminating her from IAC primary membership at her request," IAC national cyber media coordinator Ajay Dixit said on Wednesday.

A statement from IAC blamed "Team Arvind" for disabling and shutting their "primary mailing list with over 27,000 registered subscribers and members".

Earlier, IAC had alleged that their mailing list was disabled by "hackers affiliated to the government of India".

"IAC regrets to announce that hackers affiliated to the government of India were able to disable and shut down the IAC's primary mailing list," it said.

The IAC said the list was disabled at about 9pm on Tuesday and that it was trying to restore the mailing list.

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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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Winter Storms Spawn Tornadoes 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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U.N. General Assembly voices concern for Myanmar's Muslims

UNITED NATIONS (Reuters) - The U.N. General Assembly expressed serious concern on Monday over violence between Rohingya Muslims and Buddhists in Myanmar and called upon its government to address reports of human rights abuses by some authorities.

The 193-nation General Assembly approved by consensus a non-binding resolution, which Myanmar said last month contained a "litany of sweeping allegations, accuracies of which have yet to be verified."

Outbreaks of violence between ethnic Rakhine Buddhists and the Rohingyas have killed dozens and displaced thousands since June. Rights groups also have accused Myanmar security forces of killing, raping and arresting Rohingyas after the riots. Myanmar said it exercised "maximum restraint" to quell the violence.

The unanimously adopted U.N. resolution "expressing particular concern about the situation of the Rohingya minority in Rakhine state, urges the government to take action to bring about an improvement in their situation and to protect all their human rights, including their right to a nationality."

At least 800,000 Muslim Rohingyas live in Rakhine State along the western coast of Myanmar, also known as Burma. But Buddhist Rakhines and other Burmese view them as illegal immigrants from neighboring Bangladesh who deserve neither rights nor sympathy.

The resolution adopted on Monday is identical to one approved last month by the General Assembly's Third Committee, which focuses on human rights. After that vote, Myanmar's mission to the United Nations said that it accepted the resolution but objected to the Rohingyas being referred to as a minority.

"There has been no such ethnic group as Rohingya among the ethnic groups of Myanmar," a representative of Myanmar said at the time. "Despite this fact, the right to citizenship for any member or community has been and will never be denied if they are in line with the law of the land."

(Reporting By Louis Charbonneau; Editing by Paul Simao)

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Egg attack mars Indonesia Christmas celebration

BEKASI, Indonesia: More than 200 Indonesian Muslims threw rotten eggs at Christians wanting to hold a Christmas mass near land outside Jakarta where they plan to build a church, police and a witness said.

Some 100 Christian worshippers intended to hold a mass near empty land where they hope to build a church, about 30 kilometres east of the capital, in a project barred by district government and community members in 2009.

Since then, worshippers from the Filadelfia Batak Christian Protestant have held Sunday services under scorching sun outside the property.

On Tuesday, however, local community members blocked the road near the land, Andri Ananta, a local police chief on Jakarta's outskirts, told AFP.

An AFP photographer witnessed furious locals - men and women wearing Muslim headscarf, with small children in tow - physically blocking the road and throwing rotten eggs at the gathering worshippers.

Ananta said police managed to convince the Christians to drop their plan and return home.

"We tried our best to avoid any clash and the Christians agreed to leave," he said, adding 380 police and military personnel including an anti-riot squad were deployed to the area.

Church leader Reverend Palti Panjaitan said the incident came after a Christmas Eve attack Monday evening when "intolerant people" threw not only rotten eggs but plastic bags filled with urine and cow dung at them.

"Everything had happened while police were there. They were just watching without doing anything to stop them from harming us," he told AFP.

The country's high court last year overruled the district government's 2009 decision, but constant intimidation from Muslims in the area has delayed the church's construction, church officials said.

Indonesia's constitution guarantees freedom of religion but rights groups say violence against minorities including Christians and the Ahmadiyah Islamic sect has escalated since 2008.

Ninety percent of Indonesia's population of 240 million identify themselves as Muslim but the vast majority practise a moderate form of Islam.

- AFP/de

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Constable's death: Delhi Police slap murder charges against 8

NEW DELHI: The Delhi Police invoked murder charges against eight people, including a member of the Aam Aadmi Party, after the death of a constable who was severely beaten up by protesters at India Gate on Sunday.

The eight persons were on Monday charged with attempt to murder, rioting and destruction of public property among other sections of IPC.

However, following the death constable Subhash Chand Tomar (47), who was battling for his life at the RML Hospital here, on Tuesday morning, the police decided to slap murder charges against the eight accused.

Those named in the FIR are Shankar Bisht, Nand, Shantanu, Kailash Joshi, Amit Joshi, Abhishek, Nafees Ahmad and Chaman, a member of AAP, the police said.

All the eight have been booked under sections 302 (murder), 186 (obstructing public servant in discharge of public functions), 353 (assault or criminal force to deter public servant from discharge of his duty) of IPC.

They were arrested and released on bail on Monday. Meanwhile, the Aam Admi Party alleged that police has failed to apprehend those actually involved in the incidents of stone-pelting at India Gate.

"They have arrested innocent people who were not involved in any such incident just to prove that their actions of lathicharge, tear gas shelling and water cannon use were right. Police have arrested them from places where they were holding peaceful demonstrations," the party claimed.

The constable, who died, was posted in Karawal Nagar area and was called for maintaining law and order at India Gate area during the protests over the gangrape of a 23-year-old girl on December 16.

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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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