Egypt approves new constitution drafted by Mursi allies


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


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


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


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


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


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


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


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


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


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


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


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


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


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


WORSENING ECONOMY


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


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


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


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


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


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


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


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


SENSE OF CRISIS


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


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


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


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


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


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


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


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



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Hawkish Abe to be named Japan's next prime minister






TOKYO: Japan's conservative leader Shinzo Abe is to be named as the country's new prime minister Wednesday, after he swept to power on a hawkish platform of getting tough on diplomacy while fixing the economy.

The powerful lower house will name the 58-year-old as leader in an extraordinary session Wednesday afternoon, following a resounding national election victory for his Liberal Democratic Party earlier this month.

As Japan's seventh premier in less than seven years, Abe will replace outgoing Prime Minister Yoshihiko Noda whose Democratic Party of Japan suffered a stinging defeat at the polls.

The party, which came to power in 2009, was seen as being punished for policy flip-flops and its clumsy handling of last year's atomic disaster at Fukushima.

Noda's cabinet is to resign en masse Wednesday morning before the LDP-controlled lower house names Abe as Japan's leader.

Abe, who previously served as prime minister from 2006 to 2007, is expected to form a new cabinet later in the day as he rushes to draft an extra budget to spur the nation's flagging economy.

Japanese media have suggested Abe was likely to tap close associates and senior party members for key posts.

Taro Aso, another former prime minister in Japan's revolving-door political system, was widely expected to be named as both Abe's deputy and also finance minister, the reports said.

Japan's new foreign minister was likely to be Fumio Kishida, 55, who served as a state minister in charge of Okinawan affairs under Abe's previous tenure.

The expected appointment was seen as a reflection of Abe's desire for progress on the relocation of US military bases in the southern island chain.

Sadakazu Tanigaki, the head of the LDP when the party was in opposition after ruling Japan for most of the past six decades, is tipped to become the country's justice minister, the reports said.

Abe won conservative support with nationalistic pronouncements on diplomacy in the midst of a territorial row with Beijing over a group of East China Sea islands, saying Japan would stand firm on its claim to the chain.

But he quickly toned down the campaign rhetoric and has said he wants improved ties with China, Japan's biggest trading partner.

Abe called for a solution through what he described as "patient exchanges".

The new leader, whose key campaign platform was reviving the world's third-largest economy, has also said he would look at revising Japan's post-war pacifist constitution, alarming officials in China and South Korea.

He vowed to pressure the Bank of Japan for further easing measures to boost growth, while also promising big government spending to spur the economy.

Analysts said Abe was likely to hold off drastic policy measures ahead of upper house elections next year, while the LDP's moderate junior coalition partner New Komeito could balance his right-leaning instincts.

-AFP/ac



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i-age protests rob govt comfort zone

NEW DELHI: Frequent street mobilization with participation of politically non-aligned public has left parties and governments bereft of the comfort of not being seriously questioned or held to account in between elections when voters express their anger through the ballot.

Activists and opposition leaders argue that the response of the government to a swiftly developing situation like the one that unfolded in Delhi over the past week shows that the Centre announced a slew of measures only after being brought under intense pressure.

Although the government appeared to be reactive rather than proactive, it has had to respond in a manner that its predecessors did not consider necessary. The trigger for this was the toll the protests took of government's credibility.

Aam Aadmi Party member Yogendra Yadav hit out at the government accusing it of lacking political skills to respond to the public's anger and disappointment. "The government has shown itself to be particularly short-sighted. The people in the political establishment lack political skills. They should have anticipated the people's emotion much earlier and responded to it," he said.

I&B minister Manish Tewari defended the government, saying, "We understand the anguish and concern of the protestors. However, violence is neither a solution nor an end in itself. It is indeed unfortunate that a law enforcement officer succumbed to the depredations of the protest. The government has taken a series of measures for the quick prosecution of the crime which no civilized society countenances or tolerates as well as measures to address the systemic problem of the security and safety of women."

Yadav also found PM Manmohan Singh's speech wanting on several fronts. "If you say on Day 1 that you have three daughters, it has some meaning. But to say it Day 8, it is just a joke. The government has state power and they have used it to put down a peaceful protest," he added.

CPM leader Brinda Karat said the incident had only demonstrated the lack of political will on the part of the government. "There is total drift and lack of political direction on the part of the government whether it is PM's ineffectual speech or home minister's remarks," she said.

Karat, who led a delegation of women's groups to meet President Pranab Mukherjee a day earlier, said there were small but critical steps like taking action against buses with tinted glasses that the government had not done so far. "This was an occasion when the top cop should have taken responsibility," she added.

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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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Gunman Killed Firemen With Bushmaster, Left Note












An convicted killer, who shot dead two firefighters with a Bushmaster assault rifle after leading them into an ambush when they responded to a house fire he set in Western New York, left behind a typewritten note saying he wanted to "do what I like doing best, killing people," police said.


William Spengler, 62, set his home and a car on fire early Monday morning with the intention of setting a trap to kill firefighters and to see "how much of the neighborhood I can burn down," according to the note he wrote and which police found at the scene. The note did not give a reason for his actions.


Spengler, who served 18 years in prison for beating his 92-year-old grandmother to death with a hammer in 1981, hid Monday morning in a small ditch beside a tree overlooking the sleepy lakeside street in Webster, N.Y., where he lived with his sister, police said today in a news conference.


That woman, Cheryl Spengler, 67, remains missing and may also have been killed, police said.


As firefighters arrived on the scene after a 5:30 a.m. 911 call on the morning of Christmas Eve, Spengler opened fire on them with the Bushmaster, the same semi-automatic, military-style weapon used in the Dec. 14 rampage killing of 20 children in Newtown, Conn.




"This was a clear ambush on first responders… Spengler had armed himself heavily and taken area of cover," said Gerald Pickering, the chief of the Webster Police Department.


Armed with a Smith & Wesson .38 caliber revolver, a Mossman 12-gauge shotgun, and the Bushmaster, Spengler killed two firefighters, and injured two more as well as an off-duty police officer at the scene.


As a convicted felon, Spengler could not legally own a firearm and police are investigating how he obtained the weapons.


One firefighter tried to take cover in his fire engine and was killed with a gunshot through the windshield, Pickering said.


Responding police engaged in a gunfight with Spengler, who ultimately died, likely by a self-inflicted gunshot wound to the head.


As police engaged the gunman, more houses along Lake Ontario were engulfed, ultimately razing seven of them.


SWAT teams were forced to evacuate residents using armored vehicles.


Police identified the two slain firefighter as Lt. Michael Chiapperini, a 20-year veteran of the Webster Police Department and "lifetime firefighter," according to Pickering, and Tomasz Kaczowka, who also worked as a 911 dispatcher.


Two other firefighters were wounded and remain the intensive care unit at Strong Memorial Hospital in Rochester, N.Y.


Joseph Hofsetter was shot once. He sustained an injury to his pelvis and has "a long road to recovery," said Dr. Nicole A. Stassen, a trauma physician.


The second firefighter, Theodore Scardino, was shot twice and received injuries to his left shoulder and left lung, as well as a knee.



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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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Son of late icon Kennedy rules out US Senate run






WASHINGTON: A son of late political icon Edward Kennedy said Monday he will not run for the US Senate in Massachusetts -- the same state his father represented for nearly five decades -- US media reported.

Edward Kennedy Jr's brother, former US representative Patrick Kennedy, had said over the weekend that the health care lawyer was seriously considering running for the US Senate seat that John Kerry will vacate if he is confirmed as secretary of state.

But Kennedy Jr, who lives in neighboring Connecticut, denied in a statement that he was seeking public office in Massachusetts.

"Although I have a strong desire to serve in public office, I consider Connecticut to be my home, and I hope to have the honor to serve at another point in my future," the 51-year-old said in the text cited by CNN.

Kennedy, who also owns a house at his family's compound in Hyannis Port, Massachusetts, said he was "extremely grateful for all the offers of support" of a potential run, and left the door open to running "at another point in my future."

A source familiar with his decision said Kennedy had ruled out a run because he did not want to uproot his family, did not feel right about moving from Connecticut to Massachusetts to run for the seat and Connecticut officials have urged him to stay for a later political campaign there, according to the Globe.

"He really wants to run," an unnamed family friend told CNN. "He just thinks this isn't the way to do it. Uprooting his family right now doesn't make sense."

If Kennedy had run, he likely would have had to face outgoing Republican Senator Scott Brown, who was defeated last month in his bid to be re-elected to the seat left vacant when the late Edward Kennedy died in 2009.

Just six weeks after Democratic consumer advocate Elizabeth Warren defeated Brown in the November election, President Barack Obama nominated Kerry on Friday to be his secretary of state.

If Kerry is confirmed in the post, Brown is expected to vie for his Senate seat. Among Democrats, US Representatives Michael Capuano and Ed Markey have hinted at a possible run.

-AFP/ac



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Govt draws up plan to revamp cyber security of critical sectors

NEW DELHI: In its bid to meet the challenge of ever increasing cyber attacks and security in the virtual world, the government has set in motion a five-year project to revamp the entire cyber security apparatus of critical sectors in the country. In the past one year, India has suffered 13,000 cyber incidents.

The responsibility for the job has been vested in National Critical Information Infrastructure Protection Centre (NCIIPC), the nodal agency to coordinate cyber security operations for critical infrastructures across the country. NCIIPC has prepared a five-year plan to completely revamp and integrate the cyber security apparatus of all critical infrastructure such as power, transportation, water, telecommunication and defence.

The agency, which is soon to be notified, further plans to set up sectoral Computer Emergency Response Teams (CERTs) that will be connected to it. It will install sensors on all critical systems to give real-time information to its command and control centre about any cyber attack to formulate quick response.

The government has also defined clear mandates for NCIIPC and CERT-IN, which is also engaged in cyber security of national infrastructure. NCIIPC will only look after absolutely critical sectors that have high threat perception coupled with greater dependence on computer and information technology (CIT), while other sectors will be with CERT-IN. These sectors (with NCIIPC) have been identified as energy (power, coal, oil and natural gas), transportation (railways and civil aviation), banking and finance, telecom, defence, space, law enforcement and security.

Functioning under the aegis of National Technical Research Organization (NTRO), NCIIPC last Monday also organized the first national conference of chief information security officers (CISO) of critical sectors of the government.

Sources said this is part of the step to first create awareness and ensure setting up of a robust security system in all critical government agencies at their own level. The task has been divided into five phases. Once agencies set up their security infrastructure, it will be connected to NCIIPC.

"There are plans to open a Cyber Security Operation Centre, a 24/7 control room for real-time information and response and a National Institute of Critical Information Infrastructure Protection for training of CISOs. We will also issue daily cyber alerts," said NCIIPC director Muktesh Chander in a presentation.

Sources said this infrastructure will ensure that NCIIPC gets real-time information as soon as a cyber attack happens on any network, can quickly analyze different attacks and provide immediate response. "If the same virus attacks different systems, we will not have to analyze them separately and formulate different responses," said an official.

National security advisor Shivshankar Menon, who addressed the gathering, stressed on participation of the private sector and said, "The NCIIPC is setting up a joint working group with representatives of industry associations to bring out guidelines for protection of critical information infrastructure in India."

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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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4 Firefighters Shot, 2 Killed in NY 'Trap'













Two firefighters were shot and killed and two others hospitalized after a gunman targeted them as they responded to a fire he is believed to have set to a home and a car in Webster, N.Y., police said.


"It does appear that it was a trap that was set for first responders," Police Chief Gerald L. Pickering said.


SWAT team officers used an armored personnel carrier to evacuate 33 residents from homes in the area.


"Upon arrival all [the firefighters] drew fire, all four were shot on the scene," Pickering said. "One was able to flee the scene. The other three were pinned down."


An off-duty police officer responding to the call was also injured by shrapnel and was being treated.


Pickering said the gunman was dead at the scene, but had yet to be identified. The shooter died of a gunshot wound, but police didn't yet know if "it was self inflicted or not."


Firefighters continued to fight the blaze that engulfed three other homes and damaged three more on a sleepy street next to Lake Ontario that police described as a quiet vacation community.










Police had not yet determined the "weapon or weapons" the gunman used and had not fully investigated the scene because the fires continued to rage.


"I know many people are going to be asking if they were assault rifles," Pickering said, following a week-long debate about such weapons after one was used in a tragic school shooting in Newtown, Conn. on Dec. 14.


Among the dead firefighters was Lt. Michael Chiapperini, a 20-year veteran of the Webster Police Department and "lifetime firefighter," according to Pickering. Chiapperini was a spokesman for the police department, ABC News affiliate WHAM reported.


Police identified the other firefighter killed as Tomasz Kaczowka, who WHAM reported also was a 911 dispatcher.


The chief, choking up, called the incident that shattered the quiet before 6 a.m. on Christmas Eve morning "terrible."


"People get up in the middle of the night to fight fires," he said. "They don't expect to get shot and killed."


Two surviving firefighters were in the intensive care unit at Strong Memorial Hospital in Rochester, N.Y. Both men were awake and breathing on their own after surgery and were in what doctors are calling "guarded condition."


Joseph Hofsetter was shot once and sustained an injury to his pelvis and has "a long road to recovery," said Dr. Nicole A. Stassen, a trauma physician.


The second firefighter, Theodore Scardino, was shot twice and received injuries to his left shoulder and left lung, as well as a knee.


New York Gov. Andrew Cuomo released a statement calling the attack a "senseless act of violence" and the first responders "true heroes."



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