Gunman Killed Firemen With Bushmaster, Left Note

A 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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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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Up to 27 feared dead in Kazakh plane crash

ALMATY, Kazakhstan: A military aircraft carrying 27 people including top members of the Kazakhstan border guard service crashed Tuesday in the south of the country with all those on board feared dead, officials said.

The KNB security service said the An-72 military transport was carrying seven crew and 20 servicemen, including the acting head of the Kazakh border service Turganbek Stambekov.

The plane crashed 20 kilometres (12 miles) from Shymkent airport where it had been due to land after a flight from the capital Astana.

Kazakhstan's KTK television said that the plane fell from a height of 800 metres (2,600 feet) and the weather around the airport at the time was very poor.

Eyewitness Baurzhan Dosov whose home is near the crash area told state television that he heard a noise like an explosion and then witnessed a scene of carnage.

"There are military hats everywhere and pieces of human flesh. Just like meat. The fire is still blazing," he said.

A security source told the Interfax news agency that all those on board were killed and KTK also reported that according to its latest information there were no survivors.

But this was not confirmed in the KNB statement.

"The emergency services are working at the scene of the incident. An investigation is in progress," the KNB said, without giving more details.

The security source quoted by Interfax said that according to initial information there were no survivors.

Aviation disasters remain a scourge across the former Soviet Union due to ageing hardware that often has not been replaced since the fall of the Soviet regime as well as human error.

The Kazakh border guard service was already hit this year by tragedy with the killing of 14 of its servicemen in May at a border post in the remote Tian Shan mountains.

A border guard, Vladislav Chelakh, 20, was this month sentenced to life in prison for the killings but the defence argued he was being made a scapegoat for security failings higher up.

-AFP/ac

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Christmas celebrated with fervour across India

NEW DELHI: Cities were soaked in festive spirit and a spirit of yuletide pervaded the air as midnight masses, resonance of carols and merriment ushered in Christmas across the country on Tuesday.

As bells tolled, worshippers thronged churches and cathedrals decorated with twinking lights for the midnight service to celebrate the birth of Jesus Christ.

Sparkling Christmas trees and gift items adorned the marketplaces which wore a festive look as community feasts, exchange of greetings and colourful processions marked the occasion.

Traditional Christmas carols rendered the air festive with gospel bands enthralling the merry-makers with songs like 'Jingle Bells', 'Oh Holy Night' and 'Santa Claus Is Coming to Town'.

It was a busy day for Santa Claus, a man in red with a flowing white beard, who went from place to place cheering the revellers.

Redemption, rejoicing, feasting and singing marked the birth of Jesus Christ in the North-East which has sizeable Christians.

Meghalaya's capital Shillong was decked up for the occasion as buildings and street-corners were illuminated and decorated with Christmas trees, banners and festoons.

Long queues were seen in front of prominent bakeries in the city selling designer cakes.

Stores stocking Xmas merchandise were inundated with shoppers as sumptuous feast formed an important part of the celebrations in many homes.

Faithful across Nagaland celebrated Christmas with joy and religious fervour as bright sunshine enveloped the skyline since morning.

In Kerala, agog with festivities for the past few days, churches and homes were tastefully decorated.

In Tamil Nadu, worshippers, dressed in new outfits, attended midnight masses and special prayers in churches, including the famous Velankanni shrine.

Special prayers for world peace and safety for women were held in churches across Kashmir Valley where Christmas was celebrated with religious fervour.

"I prayed for the safety of women in the country...and that they can roam freely in Delhi and elsewhere," Mitchelle, a young girl from Mumbai on a visit to the picturesque Valley, said.

Tourists from different parts of the country and the world joined locals in merry-making.

President Pranab Mukherjee, Prime Minister Manmohan and a host of leaders greeted the nation on the occasion hoping the festival would strengthen values of brotherhood, tolerance and caring among people.

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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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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: police

NEW YORK: Two firefighters were shot dead and two others were wounded in New York state on Monday when a gunman opened fire as the emergency personnel responded to a Christmas Eve blaze, police said.

The incident -- which comes as debate rages in the United States about gun control following the Newtown school massacre -- happened shortly before 6:00 am (1100 GMT) in Webster, a suburb of Rochester.

"The responding firefighters, when they pulled up at the scene, were fired upon by one or more shooters," Webster police chief Gerald Pickering told a press conference.

"Four of the firefighters were shot. Two are deceased, two were transported to area hospitals... it's still an active crime scene."

Pickering later said it appeared there was only one shooter, and that the suspect was found dead at the scene, killed by an apparent gunshot wound.

The two wounded firefighters were listed in guarded condition at a local hospital, according to the Democrat and Chronicle newspaper.

Monroe county sheriff Patrick O'Flynn said there was no longer any "active shooting" at the scene, where a security cordon was put up and residents were evacuated. Firefighters were still battling to contain the blaze.

The incident in Webster comes 10 days after the shooting rampage at an elementary school in Newtown, Connecticut, in which 20 children, aged six and seven, and six adults were killed.

The shooter, Adam Lanza, killed his mother at their home before heading to the school, where he eventually took his own life.

The Newtown shooting has revived debate in the United States on the country's gun laws, which are far more lax than in most other developed nations.

President Barack Obama said he would support a new bill to ban assault rifles, and has put Vice President Joe Biden in charge of a panel looking at a wide range of other measures, from school security to mental health.

Democratic Senator Dianne Feinstein has pledged to introduce a bill in January that would ban at least 100 military-style semi-automatic assault weapons, and would curb the transfer, importation and the possession of such arms.

The United States has suffered an explosion of gun violence over the last three decades, including 62 mass shooting incidents since 1982.

-AFP/ac

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Nitish positive after finance minister's statement on special status

PATNA: With the demand of special category status to Bihar at the top of his agenda, chief minister Nitish Kumar sees a silver lining and a ray of hope for the state in finance minister P Chidambaram's statement in Rajya Sabha on Thursday. "Now, we can hope that something positive will emerge," said Nitish at a function here.

He said that Chidambaram while admitting Bihar's backwardness on various human development indexes said Bihar could not be left behind and criteria for grant of special status needed revisited. "I have been constantly pressing the centre to change the criteria so that Bihar and other backward states should also be considered for special status," the CM said.

The FM's response came in reply to a question by N K Singh of JD-U in the Rajya Sabha. Chidambaram had stated, "The current criteria for deciding backwardness, etc are based on terrain, population density, international borders, infrastructure backwardness etc. I think while these criteria have served useful purpose, it is perhaps time to revisit these criteria. I think what is important is that no state is left behind, no part of India should be left behind as we move forward. My current thinking is that we should look at the needs under different parameters."

"There may be other parameters also. But look at the mean in those parameters and measure the distance of each state from the mean; and, then devise plans and programmes, so that those who are farthest away from the mean, come closer to the mean. I am confident that with the support of all the sections of the House we would be able to devise a measure by which we can ensure that States which are far away from the mean in India are brought closure to the mean," he stated in Rajya Sabha.

Chidambaram also revealed that the plan document was ready and expected that the National Development Council (NDC) will endorse the plan document. "I doubt whether my thoughts can be crystalized into a plan of action through the NDC. But my thoughts will be crystalized and placed before the Fourteenth Finance Commission," the FM promised.

Expressing his happiness over the FM's plans to change the criteria, Nitish said he had made this plea before the Prime Minister too during his last meeting early this month. "It is heartening that the FM has used the same words in which we have made request to him. After our sustained struggle now the centre has eventually realized it and in principle accepted our demand for changing the criteria," Nitish 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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