Storms Spawn 34 Tornado Reports Across South

Severe Christmas day weather tore across the deep South, spinning off 34 possible tornadoes and killing at least three people in its path, while extreme weather is forecast throughout today for parts of the East Coast.

The storm first pounded Texas, then touched down in Louisiana and blasted through homes in Mississippi. In Mobile, Ala., a wide funnel cloud was barreled across the city as lightning flashed inside like giant Christmas ornaments.

Bill Bunting with the National Weather Service's Severe Storms Prediction Center said that the damage may not yet be done.

"Conditions don't look quite as volatile over a large area as we saw on Christmas day but there will be a risk of tornadoes, some of them could be rather strong, across eastern portions of North Carolina and the northeastern part of South Carolina," he said.

Across the Gulf region, from Texas to Florida, over 280,000 customers are still without power, with 100,000 without power in Little Rock, Ark. alone.

The punishing winds mangled Mobile's graceful ante-bellum homes, and today, dazed residents are picking through debris while rescue crews search for people trapped in the rubble.

"We've got a lot of damage, we've got people hurt," one Mobile resident told ABC News. "We've had homes that are 90 percent destroyed."

Melinda Martinez/The Daily Town Talk/AP Photo

In the Houston area a tree fell onto a pickup truck, killing the driver, ABC affiliate WTRK reported. In Louisiana, a 53-year-old man died when a tree fell on his house, and a 28-year-old woman was killed in a crash on a snowy highway near Fairview, Okla., according to the Associated Press.

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

Tuesday's extreme weather caused an 8-foot deep sinkhole in Vicksburg, Miss. Alma Jackson told ABC News that a concrete tank that was in her backyard fell into the sinkhole.

"It's really very disturbing," she said. "Because it's on Christmas day, and then to see this big hole in the ground and not have any explanation, and not be able to cover it. And the rain is pouring down."

Teresa Mason told ABC News that she and her boyfriend panicked when they saw the tornado heading toward them in Stone County, in southern Mississippi, but she says they were actually saved when a tree fell onto the truck.

"[We] got in the truck and made it out there to the road. And that's when the tornado was over us. And it started jerking us and spinning us, "she said."This tree got us in the truck and kept us from being sucked up into the tornado."

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 in an 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.

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

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Syria envoy seeks peace as clashes rage

BEIRUT (Reuters) - International envoy Lakhdar Brahimi pursued mediation efforts in Damascus on Tuesday, but there was no pause in the bloodletting as Syrian Christians marked a bleak Christmas Day with prayers for peace.

"We are here in a cave that symbolizes Syria right now," said a priest standing beside a nativity scene in a grotto.

"It is cold here but the door is open to all refugees," he told Syrian state TV. "Amid the hunger, cold and deprivation, we still have hope for peace and love for our country."

More than 44,000 Syrians have been killed since a revolt against President Bashar al-Assad erupted 21 months ago, igniting an increasingly sectarian conflict that broadly pits a Sunni Muslim majority against Assad's Alawite minority.

Christians, many of whom have been reluctant to join what they see as an Islamist-tinged insurgency, feel threatened.

Bishop John Kawak, speaking on state TV, said the Christmas holiday was "a symbol for the rebirth of the nation". He condemned "terrorism", the government's term for the rebellion.

Brahimi met some dissidents who are tolerated by Assad but rejected by the mainstream opposition and by rebels fighting to oust him, a day after he held talks with the Syrian president.

There was no word on any progress in the U.N.-Arab League' envoy's drive to end violence that has intensified in recent months as Assad uses airpower and artillery against rebel gains.

Raja Naser, secretary general of the National Coordination Body, said after meeting Brahimi that the envoy planned a week of meetings in Damascus and would stay until Sunday.

"There is still a lot of concern but there is also great hope that these meetings with other Syrian officials will result in some agreements or positive developments," he said.

But most opposition groups appear frustrated with Brahimi's quest for a deal on a transitional government. He has not clarified any role for Assad, whose foes say he must simply go, arguing that too much blood has been shed for any other outcome.

GULF PLEA

Gulf Arab leaders, who have long called for Assad's removal and some of whom have helped the rebels with guns and money, urged swift world action to halt the "massacres" and violations of international law in Syria.

The pro-opposition Syrian Observatory for Human Rights reported clashes and government shelling in hotspots across the country, including towns on the eastern outskirts of Damascus.

Abu Nidal, a spokesman for the Rebel Military Council in Damascus, said fighters had killed the head of a local security branch in the capital's suburb of Jaramana, home to a large Christian and Druze population.

In his Christmas message to the world on Tuesday, Pope Benedict encouraged Syrians not to lose hope for peace.

"May peace spring up for the people of Syria, deeply wounded and divided by a conflict which does not spare even the defenseless and reaps innocent victims," he said.

"I appeal for an end to the bloodshed, easier access for the relief of refugees and the displaced, and dialogue in the pursuit of a political solution to the conflict."

Hundreds of thousands of Syrians have fled abroad to escape the daily violence. Those who remain face severe shortages of food, fuel and other essentials as winter weather takes a grip.

Syrian activists offered a message of solidarity with Christians despite rising tensions in central Hama province, where rebels have demanded that Christian villages let them enter to force out the army and pro-Assad "shabbiha" militias.

"We say to the Christians, you are our brothers and our beloved, and your holiday is our holiday," said Abu Faisal, a Hama activist who posted a Christmas message on the Internet.

"The rebels are surrounding (the Christian town) Muhardeh to get rid of Assad's soldiers and shabbiha, but we have not forgotten your honorable stance when you took care of our refugees when the army entered Hama," he said.

"We will not accept that you are targeted by hatred, you are our brothers and our friends."

(Additional reporting by Philip Pullela in Vatican City and Asma Alsharif in Manama)

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Tennis: Stomach virus rules Nadal out of Abu Dhabi return

MADRID: Former men's tennis world number one Rafael Nadal's long-awaited return after an agonising six-month knee injury battle has been put off because of a stomach infection, he revealed on his Twitter and Facebook sites on Tuesday.

The 26-year-old Spaniard - who hasn't played since his shock second round exit to 100th-ranked Lukas Rosol at Wimbledon in June - had been due to play in a six player exhibition tournament in Abu Dhabi this week ahead of his return to the ATP circuit at Doha from December 31.

He was due to join world number one Novak Djokovic and US Open champion Andy Murray among others at the three day event.

"I am really sorry but I cannot compete this year in Abu Dhabi," wrote the seven-time French Open champion and presently ranked number four in the world.

"Everything was ready and I was really eager to return to competition, but the doctors have forbidden me to participate in Abu Dhabi because of a viral infection of the stomach which has provoked a fever."

Nadal, an 11-time Grand Slam title winner, has been plagued by knee injuries throughout his career, a legacy of his all-action style.

But earlier this week he shrugged off any fears that despite falling to number four in the world rankings, he is no longer a threat to Djokovic, Murray and world number two Roger Federer.

"I haven't forgotten how to play. I have played over 600 ATP matches and I have spent two years without playing. My feeling is good. I won Roland Garros and those emotions are still me," he said.

"The doctors say the knee is fine and that is great news for me. I still feel something, it's not perfect."

Nadal insisted he is not bitter over his recent experiences.

"I have accepted it as normal, as part of my career, part of my job. It's another challenge," he told marca.com.

"All I can do is try. But people have to realise that when you're so many months without competing you need time to progress."

- AFP/jc

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Kalyan's Rashtriya Jankranti Party to merge with BJP on Jan 21

LUCKNOW: Former Uttar Pradesh chief minister Kalyan Singh on Tuesday said his party Rashtriya Jankranti Party would merge with the BJP in a rally to be held here on January 21.

Kalyan, who has made a re-entry into BJP, made the announcement while addressing a function to celebrate 88th birthday of former Prime Minister Atal Bihari Vajpayee at Gulala ghat as the chief guest.

He said that Vajpayee worked for 'Hindi-Hindu-Hindustan' with dedication.

Terming him as a popular leader of the world, Kalyan said that height of morality in politics was witnessed in the regime of Vajpayee as the PM.

He said that while NDA government fell by only one vote in Lok Sabha, Atal did not got involved in politics of buying votes.

Kalyan alleged that UPA government was running on "bought" votes.

Terming Kalyan as his elder brother local MP Lalji Tandon said that he was and would remain with them.

BJP state president Laxmi Kant Bajpai said the party would win forthcoming Lok Sabha elections with huge votes in Kalyan's leadership.

Bajpai referred to Pokhran test, POTA and land and water schemes for development as historical decisions of Vajpayee's regime while urging party workers to prepare for the elections and BJP's victory in it.

Meanwhile, on the occasion of birthday of the former PM, BJP spokesman Vijay Bahadur Pathak flagged off "Atal Sushasan Yatra" from Rae Bareli, parliamentary constituency of Congress president Sonia Gandhi.

Pathak said the yatra would cover various assembly segment in five days during which meetings would be held to make people aware with the "anti-people" policies of the UPA government and remind them of good governance of the former PM Vajpayee.

The spokesman alleged that by allowing FDI in retail the Centre was forcing the country towards another slavery and it would render crores of people unemployed.

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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, Tornado Threats for Christmas in US

Forecasts of snow, sleet and freezing rain threatened to complicate Christmas Day travel around the nation's midsection Tuesday as several Gulf Coast states braced for a chance of twisters and powerful thunderstorms.

A blizzard watch was posted for parts of Indiana and western Kentucky for storms expected to develop Tuesday amid predictions of up to 4 to 7 inches of snow in coming hours. Much of Oklahoma and Arkansas braced under a winter storm warning of an early mix of rain and sleet later turning to snow.

Some mountainous areas of Arkansas' Ozark Mountains could get up to 10 inches of snow amid warnings travel could become "very hazardous or impossible" in the northern tier of the state from near whiteout conditions, the National Weather Service said.

Early Tuesday, the Oklahoma Department of Public Safety said some bridges and overpasses were already becoming slick. Also, Kathleen O'Shea with Oklahoma Gas and Electric said the utility was tracking the storm system to see where repair crews might be needed among nearly 800,000 customers in Oklahoma and western Arkansas.

Elsewhere, areas of east Texas and Louisiana braced for possible thunderstorms as forecasters eyed a swath of the Gulf Coast from east Texas to the Florida Panhandle for the threat of any tornadoes.

Storms expected during the day Tuesday along the Gulf Coast could bring strong tornadoes or winds of more than 75 mph, heavy rain, quarter-sized hail and dangerous lightning in Louisiana and Mississippi, the weather service said.

"Please plan now for how you will receive a severe weather warning, and know where you will go when it is issued. It only takes a few minutes, and it will help everyone have a safe Christmas," Mississippi Gov. Phil Bryant said.

Ten storm systems in the last 50 years have spawned at least one Christmastime tornado with winds of 113 mph or more in the South, said Chris Vaccaro, a National Weather Service spokesman in Washington, via email.

The most lethal were the storms of Dec. 24-26, 1982, when 29 tornadoes in Oklahoma, Missouri, Arkansas, Tennessee and Mississippi killed three people and injured 32; and those of Dec. 24-25, 1964, when two people were killed and about 30 people injured by 14 tornadoes in seven states.

In Alabama, the director of the Emergency Management Agency, Art Faulkner, said he has briefed both local officials and Gov. Robert Bentley on plans for dealing with a possible outbreak of storms.

No day is good for severe weather, but Faulkner said Christmas adds extra challenges because people are visiting unfamiliar areas and often thinking more of snow than possible twisters.

"We are trying to get the word out through our media partners and through social media that people need to be prepared," Faulkner said

During the night, flog blanketed highways at times in the Southeast, including arteries in Atlanta where motorists slowed as a precaution. Fog advisories were posted from Alabama through the Carolinas into southwestern Virginia.

Several communities in Louisiana went ahead with the annual Christmas Eve lighting more than 100 towering log teepees for annual bonfires to welcome Pere Noel along the Mississippi River between New Orleans and Baton Rouge. That decision came after fire chiefs and local officials decided to go ahead with the tradition after an afternoon conference call with the National Weather Service.

In California, after a brief reprieve across the northern half of the state on Monday, wet weather was expected to make another appearance on Christmas Day. Flooding and snarled holiday traffic were expected in Southern California.

———

Associated Press writer Bob Johnson in Montgomery, Ala., and Ken Miller in Oklahoma City, Okla., contributed to this report.

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Afghan policewoman kills coalition contractor in Kabul: NATO

KABUL (Reuters) - An Afghan woman wearing a police uniform shot dead on Monday a civilian contractor working for Western forces in the police chief's compound in Kabul, NATO said.

The incident is likely to raise troubling questions about the direction of an unpopular war.

It appeared to be the first time that a woman member of Afghanistan's security forces carried out such an attack.

There were conflicting reports about the victim.

A spokesman for the NATO-led International Security Assistance Force (ISAF) said a U.S. police adviser was killed by an Afghan policewoman. Then ISAF said in a statement only that it was a "contracted civilian employee" who was killed.

Mohammad Zahir, head of the police criminal investigation department, described the incident as an "insider attack" in which Afghan forces turn their weapons on Western troops they are supposed to be working with. He initially said the victim was a U.S. soldier.

After more than 10 years of war, militants are capable of striking Western targets in the heart of the capital, and foreign forces worry that Afghan police and military forces they are supposed to work with can suddenly turn on them.

The policewoman approached her victim as he was walking in the heavily guarded police chief's compound in a bustling area of Kabul. She then drew a pistol and shot him once, a senior police official told Reuters.

The police complex is close to the Interior Ministry where in February, two American officers were shot dead at close range at a time anger gripped the country over the burning of copies of the Muslim holy book at a NATO base.

"She is now under interrogation. She is crying and saying 'what have I done'," said the official, of the police officer who worked in a section of the Interior Ministry responsible for gender awareness issues.

TIPS FOR TROOPS

The insider incidents, also known as green-on-blue attacks, have undermined trust between coalition and Afghan forces who are under mounting pressure to contain the Taliban insurgency before most NATO combat troops withdraw by the end of 2014.

Security responsibilities in a country plagued by conflict for decades will be handed to Afghan security forces.

Many Afghans fear a civil war like one dominated by warlords after the withdrawal of Soviet occupying forces in 1989 could erupt again, or the Taliban will make another push to seize power if they reject a nascent peace process.

At least 52 members of the NATO-led International Security Assistance Force have been killed this year by Afghans wearing police or army uniforms.

Insider attacks now account for one in every five combat deaths suffered by NATO-led forces in Afghanistan, and 16 percent of all U.S. combat casualties, according to 2012 data.

Hoping to stop the increase in the attacks, Afghan Defense Ministry officials have given their troops tips in foreign culture.

They are told not to be offended by a hearty pat on the back or an American soldier asking after your wife's health.

NATO attributes only about a quarter of the attacks to the Taliban, saying the rest are caused by personal grievances and misunderstandings. Last year, there were 35 deaths in such attacks.

Afghan forces are vulnerable to "insider attacks" of their own. In Jawzjan province in the north, a police commander shot and killed five comrades overnight, the Interior Ministry said.

Last year, he defected from the Taliban, said the ministry.

Taliban spokesman Zabihullah Mujahid said in a statement that the commander had rejoined the Taliban. That could not be confirmed.

(Writing by Michael Georgy; Editing by Robert Birsel)

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Two firefighters shot dead in New York state: media

NEW YORK: Two firefighters were shot dead and two others wounded in New York state on Monday when at least one gunman opened fire as the emergency personnel responded to a blaze, local media reported.

The incident -- which comes as debate rages in the United States about gun control following the Newtown school massacre -- happened in Webster, a suburb of Rochester, the Democrat and Chronicle newspaper reported, citing officials.

- AFP/xq

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Ananth Kumar attacks Yeddyuarappa, calls KJP a 'B team'

BANGALORE: After chief minister Jagadish Shettar, it was BJP national general secretary HN Ananth Kumar's turn to attack Karnataka Janata Party (KJP) president B S Yeddyurappa.

Describing KJP as the 'B team' of Congress, created to trouble BJP in the assembly elections, Kumar said "Yeddyurappa became CM chanting Rama's name. Now he has embraced Rome by floating KJP on the birthday of Congress chief Sonia Gandhi." Kumar was addressing the Bangalore Urban BJP workers meeting at Palace Grounds on Monday.

Yeddyurappa officially took over as KJP president on December 9, which was also the birth date of Sonia Gandhi, at a convention in Haveri. Sources perceive Kumar's remark as an attack on Yeddyurappa and the Congress for their alleged tacit understanding.

"Yeddyurappa became CM with the blessings of leaders like Atal Bihari Vajpayee and LK Advani and the hard work of lakhs of party workers, not because of his efforts alone. He lost the chair because of his own mistakes and nobody is to blame for this," Kumar said.

Comparing KJP with Keshubhai Patel's Gujarat Parivartana Party (GPP), Kumar said the party always considered GPP a non-performer as it worked as the B team for the Congress in Gujarat. "They (Congress) had only one B in Gujarat. In Karnataka, Congress has B, C and D teams," he said.

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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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