Newtown Shooter's DNA to Be Studied

Geneticists have been asked to study the DNA of Adam Lanza, the Connecticut man whose shooting rampage killed 27 people, including an entire first grade class.

The study, which experts believe may be the first of its kind, is expected to be looking for abnormalities or mutations in Lanza's DNA.

Connecticut Medical Examiner H. Wayne Carver has reached out to University of Connecticut's geneticists to conduct the study.

University of Connecticut spokesperson Tom Green says Carver "has asked for help from our department of genetics" and they are "willing to give any assistance they can."

Green said he could not provide details on the project, but said it has not begun and they are "standing by waiting to assist in any way we can."

Lanza, 20, carried out the massacre at Sandy Hook Elementary School in Newtown, Conn., just days before Christmas. His motives for the slaughter remain a mystery.

Geneticists not directly involved in the study said they are likely looking at Lanza's DNA to detect a mutation or abnormality that could increase the risk of aggressive or violent behavior. They could analyze Lanza's entire genome in great detail and try to find unexpected mutations.

This seems to be the first time a study of this nature has been conducted, but it raises concerns in some geneticists and others in the field that there could be a stigma attached to people with these genetic characteristics if they are able to be narrowed down.

Sandy Hook Shooting: 'The View' on What Can Be Done Watch Video

Arthur Beaudet, a professor at Baylor College of Medicine, said the University of Connecticut geneticists are most likely trying to "detect clear abnormalities of what we would call a mutation in a gene…or gene abnormalities and there are some abnormalities that are related to aggressive behavior."

"They might look for mutations that might be associated with mental illnesses and ones that might also increase the risk for violence," said Beaudet, who is also the chairman of Baylor College of Medicine's department of molecular and human genetics.

Beaudet believes geneticists should be doing this type of research because there are "some mutations that are known to be associated with at least aggressive behavior if not violent behavior."

"I don't think any one of these mutations would explain all of (the mass shooters), but some of them would have mutations that might be causing both schizophrenia and related schizophrenia violent behavior," Beaudet said. "I think we could learn more about it and we should learn more about it."

Beaudet noted that studying the genes of murderers is controversial because there is a risk that those with similar genetic characteristics could possibly be discriminated against or stigmatized, but he still thinks the research would be helpful even if only a "fraction" may have the abnormality or mutation.

"Not all of these people will have identifiable genetic abnormalities," Beaudet said, adding that even if a genetic abnormality is found it may not be related to a "specific risk."

"By studying genetic abnormalities we can learn more about conditions better and who is at risk and what might be dramatic treatments," Beaudet said, adding if the gene abnormality is defined the "treatment to stop" other mass shootings or "decrease the risk is much approved."

Others in the field aren't so sure.

Dr. Harold Bursztajn, a professor of psychiatry at Harvard Medical School, is a leader in his field on this issue writing extensively on genetic discrimination. He questions what the University of Connecticut researchers could "even be looking for at this point."

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Syria to discuss Brahimi peace proposals with Russia

BEIRUT (Reuters) - Syrian President Bashar al-Assad sent a senior diplomat to Moscow on Wednesday to discuss proposals to end the conflict convulsing his country made by international envoy Lakhdar Brahimi, Syrian and Lebanese sources said.

Brahimi, who saw Assad on Monday and is planning to hold a series of meetings with Syrian officials and dissidents in Damascus this week, is trying to broker a peaceful transfer of power, but has disclosed little about how this might be done.

More than 44,000 Syrians have been killed in a revolt against four decades of Assad family rule, a conflict that began with peaceful protests but which has descended into civil war.

Past peace efforts have floundered, with world powers divided over what has become an increasingly sectarian struggle between mostly Sunni Muslim rebels and Assad's security forces, drawn primarily from his Shi'ite-rooted Alawite minority.

Deputy Foreign Minister Faisal Makdad flew to Moscow to discuss the details of the talks with Brahimi, said a Syrian security source, who would not say if a deal was in the works.

However, a Lebanese official close to Damascus said Makdad had been sent to seek Russian advice on a possible agreement.

He said Syrian officials were upbeat after talks with Brahimi, the U.N.-Arab League envoy, who met Foreign Minister Walid Moualem on Tuesday a day after his session with Assad, but who has not outlined his ideas in public.

"There is a new mood now and something good is happening," the official said, asking not to be named. He gave no details.

Russia, which has given Assad diplomatic and military aid to help him weather the 21-month-old uprising, has said it is not protecting him, but has fiercely criticized any foreign backing for rebels and, with China, has blocked U.N. Security Council action on Syria.

"ASSAD CANNOT STAY"

A Russian Foreign Ministry source said Makdad and an aide would meet Foreign Minister Sergei Lavrov and Mikhail Bogdanov, the Kremlin's special envoy for Middle East affairs, on Thursday, but did not disclose the nature of the talks.

On Saturday, Lavrov said Syria's civil war had reached a stalemate, saying international efforts to get Assad to quit would fail. Bogdanov had earlier acknowledged that Syrian rebels were gaining ground and might win.

Given the scale of the bloodshed and destruction, Assad's opponents insist the Syrian president must go.

Moaz Alkhatib, head of the internationally-recognized Syrian National Coalition opposition, has criticized any notion of a transitional government in which Assad would stay on as a figurehead president stripped of real powers.

Comments on Alkhatib's Facebook page on Monday suggested that the opposition believed this was one of Brahimi's ideas.

"The government and its president cannot stay in power, with or without their powers," Alkhatib wrote, saying his Coalition had told Brahimi it rejected any such solution.

While Brahimi was working to bridge the vast gaps between Assad and his foes, fighting raged across the country and a senior Syrian military officer defected to the rebels.

Syrian army shelling killed about 20 people, at least eight of them children, in the northern province of Raqqa, a video posted by opposition campaigners showed.

The video, published by the Syrian Observatory for Human Rights, showed rows of blood-stained bodies laid out on blankets. The sound of crying relatives could be heard in the background.

The shelling hit the province's al-Qahtania village, but it was unclear when the attack had occurred.

STRATEGIC BASE

Rebels relaunched their assault on the Wadi Deif military base in the northwestern province of Idlib, in a battle for a major army compound and fuel storage and distribution point.

Activist Ahmed Kaddour said rebels were firing mortars and had attacked the base with a vehicle rigged with explosives.

The British-based Observatory, which uses a network of contacts in Syria to monitor the conflict, said a rebel commander was among several people killed in Wednesday's fighting, which it said was among the heaviest for months.

The military used artillery and air strikes to try to hold back rebels assaulting Wadi Deif and the town of Morek in Hama province further south. In one air raid, several rockets fell near a field hospital in the town of Saraqeb, in Idlib province, wounding several people, the Observatory said.

As violence has intensified in recent weeks, daily death tolls have climbed. The Observatory reported at least 190 had been killed across the country on Tuesday alone.

The head of Syria's military police changed sides and declared allegiance to the anti-Assad revolt.

"I am General Abdelaziz Jassim al-Shalal, head of the military police. I have defected because of the deviation of the army from its primary duty of protecting the country and its transformation into gangs of killing and destruction," the officer said in a video published on YouTube.

A Syrian security source confirmed the defection, but said Shalal was near retirement and had only defected to "play hero".

Syrian Interior Minister Mohammed Ibrahim al-Shaar left Lebanon for Damascus after being treated in Beirut for wounds sustained in a rebel bomb attack this month.

(Additional reporting by Laila Bassam; Writing by Alistair Lyon; Editing by Andrew Osborn)

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US home prices up in October from year earlier

WASHINGTON: US home prices rose 4.3 percent in October as compared with last year, the fastest 12-month increase since May 2010, according to S&P/Case-Shiller statistics released on Wednesday.

The 20-city price index declined 0.1 percent from September, according to data not adjusted for seasonal variations, but the group emphasized the strong year-on-year figures.

On a seasonally-adjusted basis, the index climbed 0.7 percent between September and October.

"It is clear that the housing recovery is gathering strength," said David Blitzer, head of the index committee.

"Higher year-over-year price gains plus strong performances in the southwest and California, regions that suffered during the housing bust, confirm that housing is now contributing to the economy."

According to Barclays Research, the 4.3 percent year-on-year rise represented the "fastest pace of increase since May 2010 when the home buyer tax credit was boosting sales and prices."

While Phoenix home prices rose for the 13th month in a row, San Diego posted nine consecutive monthly gains. Only Chicago and New York saw negative annual returns in October.

Twelve cities saw a drop in prices last month according to non-seasonally adjusted data, compared to seven in September. Chicago saw a decline of 1.5 percent while prices in Boston dipped 1.4 percent.

- AFP/de

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Trai asked to reconsider Arasu TV issue expeditiously: Manish Tewari

NEW DELHI: With Tamil Nadu making a strong pitch for granting a license to state-owned Arasu TV to run its cable network, the Centre today said it has asked Trai to expeditiously reconsider its recommendation on allowing government entities into broadcasting and distribution.

"... we have referred the matter back to the Trai for reconsideration as to whether the state government or the central government entities should be allowed in the broadcasting or the distribution business," I&B minister Manish Tewari told reporters here.

He was replying to questions on the delay in granting of digital addressable systems (DAS) license to Arasu cable TV to operate its distribution network.

Tewari said that he had asked the Telecom Regulatory Authority of India (Trai), which is also the regulator for the broadcast sector, to "expedite their consideration on the matter".

"There is a larger question. I am aware of the concerns raised by the Tamil Nadu chief minister. The members of Parliament have also come and met me.

That is why we have requested the Trai chairperson to expedite their consideration ... so that we can take a conclusive decision at the earliest," he said.

Tewari said it was correct that Arasu was granted a license in 2008.

Subsequently, there was a recommendation by the Trai which explicitly stated that entities, which include the state government or their instrumentalities, should not be allowed either in distribution or in the broadcasting business.

The government has given 11 DAS licences to multi-system operators in Tamil Nadu until now, but Arasu is not one of them.

Arasu started operations in 2011 when AIADMK supremo J Jayalalithaa came to power. It was founded in October 2007 by the DMK government headed by M Karunanidhi at the peak of a fight between his family and the Marans, who control Sun TV and Sumangali Cable Vision.

However, plans to project Arasu as a rival of Sumangali were shelved after the Marans made up with Karunanidhi.

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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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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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