4 Firefighters Shot, 2 Killed in NY 'Trap'

A man who served nearly 17 years in jail for killing his grandmother set a house and car on fire this morning in upstate New York and then began shooting at emergency personnel who showed up, killing two firefighters, police said.

In all, William Spengler, 62, shot four firefighters, killing two and severely injuring two more after setting his "trap," police said.

An off-duty police officer from Greece, N.Y., who responded to the scene early in the morning of Christmas Eve also was injured today.

"It was a trap," said Webster, N.Y., Police Chief Gerald L. Pickering, "set by Mr. Spengler who laid in wait and shot first responders."

Spengler, who was released from prison in 1998, was found dead at the scene following a shootout with police. He was believed to have killed himself with a bullet to the head.

As a convicted felon, Spengler would not have been allowed to own guns legally. Police were working to determine the types of weapons he used and how he obtained them, Pickering said.

Spengler was convicted of manslaughter in 1981 for "beating his 92-year-old grandmother with a hammer," according to state prison documents.

Several weapons were used, Pickering said, and, "probably a rifle was used to inflict wounds of the first responders.

"I know many people are going to be asking if they were assault rifles," Pickering said

There has been a week-long national debate about such weapons after one was used in a tragic school shooting in Newtown, Conn. on Dec. 14.

Four firefighters, two on a ladder truck and two more in their own vehicles, responded to 911 calls around 5:30 a.m. Monday morning. Spengler is believed to have hidden behind an elevated berm, shooting down on the firefighters and later police.

"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."

Police believe Spengler's sister may have been inside the home, and that he set it on fire.

The blaze spread, engulfing three nearby homes and damaging three more on a sleepy street next to Lake Ontario that police described as a quiet vacation community. The fire was not put under control until late this afternoon.

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

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 also worked as 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. 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.

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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Cycling: British paper sues Armstrong over libel payment

LONDON: British newspaper The Sunday Times said on Sunday that it is suing Lance Armstrong for over £1 million over a libel payment made to the disgraced cyclist in 2006.

The newspaper paid Armstrong £300,000 to settle a libel case after previously suggesting that he may have cheated.

But the United States Anti-Doping Agency (USADA) subsequently found that he had led the "most sophisticated" doping programme in sporting history, leading to a life ban for the Texan, who was also stripped of his seven Tour de France wins.

The Sunday Times is reportedly demanding the return of the original settlement payment, along with interest and legal costs.

In a letter to Armstrong's lawyers, the paper said: "It is clear that the proceedings were baseless and fraudulent. Your representations that you had never taken performance-enhancing drugs were deliberately false."

The newspaper had long questioned Armstrong's achievements and in 2004 it published an article stating that it was appropriate for questions about his success to be "posed and answered".

After Armstrong's lawyers issued a writ, the newspaper settled with him in June 2006.

- AFP/jc

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Haryana politicians, bureaucrats using front men to buy land

NEW DELHI: Haryana politicians and bureaucrats have been allegedly putting their front men to buy property, which are often parts of common land or of panchayats. Haryana IAS officer Ashok Khemka, who hit the headlines after ordering a probe into Robert Vadra's land deals, had exposed this during his brief tenure in the land consolidation department.

Khemka's two orders and a particular noting on the flawed consolidation process accessed by TOI show that he had pointed out the politician-bureaucrat-property dealer nexus to usurp common and non-agriculture land in villages falling under and around Aravalis — Kot (Ballabhgarh), Anangpur (Faridabad), Bandhwari (Sohna) and Rozka-Gujar (Sohna).

On August 27, Khemka noted, "It was observed that some senior public servants misused their position for a favourable exchange for themselves or their relatives or their companies floated for this purpose. Huge investments of black money and ill-gotten money have been made through companies in the purchase of land of some villages in Gurgaon-Faridabad districts to benefit from the consolidation scheme."

These are the villages which have been brought under the Master Plan of Sohna in Gurgaon and Manger in Faridabad. The land ownership changed hands and big players got large chunks within years before the state government came out with new development plans.

The IAS officer had also recommended that huge investments made in the purchase of land in these villages through companies must be investigated to find out their actual owners and interests behind these investing companies. "It seems that huge amounts of black money have been invested in the purchase of land in these villages through companies. Their real owners need to be disclosed through an independent investigation," his note had recommended to the government.

Some of the land records accessed by TOI showed that a Haryana MP bought 20 acres of Gair Mumkin Pahar (uncultivable hill) in Roz-ka-Gujjar, family members of a mining baron owned 860 acres, wife and son of a top ranking police officer bought 16 acres, to mention a few. Moreover, several property dealers have bought huge chunks of land for political families and even serving officers in the state. In the case of Roz-ka-Gujjar village, over 1,685 acres went to influential people and companies.

When TOI contacted Khemka, he said, "Only after observing the trend and after getting enough input I had put my views on record and these are with the department. I won't comment anything on these issues since I have a different responsibility now." The officer has been shifted to the seed development department.

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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.

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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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Egyptians back new constitution in referendum

CAIRO (Reuters) - An Islamist-backed Egyptian constitution won approval in a referendum, rival camps said on Sunday, after a vote the opposition said would sow deep social divisions in the Arab world's most populous nation.

The Islamist Muslim Brotherhood, which propelled President Mohamed Mursi to power in a June election, said an unofficial tally showed 64 percent of voters backed the charter after two rounds of voting that ended with a final ballot on Saturday.

An opposition official also told Reuters their unofficial count showed the result was a "yes" vote, while party spokesmen said there had been a series of abuses during the voting.

The main opposition coalition, the National Salvation Front, responded to the defeat by saying it was moving towards forming a single political party to challenge the Islamists who have dominated the ballot box since strongman Hosni Mubarak was overthrown two years ago.

Members of the opposition, taking heart from a low turnout of about 30 percent of voters, pledged to keep up pressure on Mursi through peaceful protests and other democratic means.

"The referendum is not the end of the road," said Khaled Dawoud, a spokesman for the National Salvation Front. "It is only the beginning of a long struggle for Egypt's future."

The referendum committee may not declare official results for the two rounds until Monday, after hearing appeals. If the outcome is confirmed, a parliamentary election will follow in about two months.

Mursi's Islamist backers say the constitution is vital for the transition to democracy, nearly two years after Mubarak was ousted in a popular uprising. It will provide the stability needed to help a fragile economy, they say.

The constitution was "a historic opportunity to unite all national powers on the basis of mutual respect and honest dialogue for the sake of stabilizing the nation," the Brotherhood said in a statement.

RECIPE FOR UNREST

The opposition accuses Mursi of pushing through a text that favors Islamists and ignores the rights of Christians, who make up about 10 percent of the population, as well as women. They say it is a recipe for further unrest.

The opposition said voting in both rounds was marred by abuses. However, an official said the overall vote favored the charter.

"The majority is not big and the minority is not small," liberal politician Amr Hamzawy said, adding that the National Salvation Front would use "all peaceful, democratic means" such as protests to challenge the constitution.

The vote was split over two days as many judges had refused to supervise the ballot, making a single day of voting impossible.

During the build-up to the vote there were deadly protests, sparked by Mursi's decision to award himself extra powers in a November 22 decree and then to fast-track the constitutional vote.

The new basic law sets a limit of two four-year presidential terms. It says the principles of sharia, Islamic law, remain the main source of legislation but adds an article to explain this. It also says Islamic authorities will be consulted on sharia - a source of concern to Christians and others.

ABUSES

Rights groups reported what they said were illegalities in voting procedures. They said some polling stations opened late, that Islamists illegally campaigned at some polling places, and complained of irregularities in voter registration.

But the committee overseeing the two-stage vote said its investigations showed no major irregularities in voting on December 15, which covered about half of Egypt's 51 million voters. About 25 million were eligible to vote in the second round.

The Brotherhood said turnout was about a third of voters.

The opposition says the constitution will stir up more trouble on the streets since it has not received sufficiently broad backing for a document that should be agreed by consensus, and raised questions about the fairness of the vote.

In the first round, the district covering most of Cairo voted "no," which opponents said showed the depth of division.

"I see more unrest," said Ahmed Said, head of the liberal Free Egyptians Party and a member of the opposition Front.

He cited "serious violations" on the first day of voting, and said anger against Mursi was growing. "People are not going to accept the way they are dealing with the situation."

At least eight people were killed in protests outside the presidential palace in Cairo this month. Islamists and rivals clashed in Alexandria, the second-biggest city, on the eves of both voting days.

(Writing by Edmund Blair and Giles Elgood; editing by Philippa Fletcher)

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Iran fighting 'smart economic war': Ahmadinejad

TEHRAN: Iran is engaged in a "smart economic war" with Western powers whose sanctions against its nuclear programme are hurting some Iranians, President Mahmoud Ahmadinejad said on Saturday.

"Targeted sanctions, which the enemies say are supposed to be crippling, have led to a drop in our oil" sales, Ahmadinejad said in a live interview on state television, referring to an oil embargo imposed by the European Union.

"They do not even let us transfer the oil money," he said. "They thought Iran's economy would break down, but it did not."

"Iran is engaged in a smart economic war with the enemy," he said.

The EU measure, which came into effect in July, ended European purchases of Iranian crude, and has since decreased Tehran's oil exports to its Asian customers from between 10 to 30 per cent.

According to the International Energy Agency, Iranian exports in November were estimated at 1.3 million barrels per day, down from nearly 2.3 million last year.

Ahmadinejad said his government had "so far managed to control" the effects of sanctions on the economy but admitted that "heavy pressure had been exerted on some Iranians because of sanctions."

He did not elaborate on how Iran was fighting off sanctions for fear the methods would be found by Western powers trying to goad Iran back to the negotiating table over its nuclear ambitions.

"I cannot say what heavy pressure the enemy has imposed, and how we are dealing with them."

"We have so far managed to control this blow, and it hasn't turned out the way they predicted," he said.

Ahmadinejad has faced increasingly scrutiny at home for economic woes, including the collapse of the national currency, which lost more than two-thirds of its value in a 20-day span starting in late September.

Iran's economy is struggling to cope with the gradual tightening of sanctions by the United States and the European Union over the past two years.

The sanctions have also targeted Iran's access to the global banking system, slowing its economy, accelerating inflation and boosting the ranks of the jobless.

Ahmadinejad was speaking to report on his government's implementation two years ago of a controversial plan to cut subsidies on food and energy and redistribute it in form of social assistance.

The plan to generate tens of billions of dollars in additional revenues for his government has been criticised by his opponents, who blame it partially for Iran's runaway inflation.

Ahmadinejad said his government had devised schemes to diffuse the effects of Western sanctions in the "long-term."

"We have prepared long-term plans to decrease dependency on the oil-generated money. We will not allow them to use economic measures as a tool for putting pressure on us anymore," he said.

He said without elaborating that Iran was to "increase its non-oil exports."

His remarks came as Western powers engaging Iran to resolve a years-long dispute over its nuclear programme are pressuring Tehran to return to the negotiating table.

Iran has yet to respond to offers of renewed negotiations with the so-called P5+1 group, consisting of the five permanent members of the UN Security Council plus Germany.

Iran insists its programme of uranium enrichment is for purely peaceful purposes, and denies Western and Israeli allegations that it wants to manufacture nuclear weapons.

In addition to US and EU measures, Iran is also under four rounds of Security Council sanctions.

- AFP/jc

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Prayers at Ajmer dargah for Delhi gang rape victim

AJMER: Representatives of all communities here on Saturday offered chadder and prayed for the 23-year-old Delhi gang rape victim at the dargah of Khwaja Moinuddin Chishti. For the first time, the representatives asked for harsh punishments to the accused and also prayed for a better environment for every girl of the country.

Special prayers were offered on the occasion by Gadhi Nashin Sayed Ibrahim Fakhar and sought strength for the family of the victim. "The act is not acceptable in any religion and it should be condemned. Such a heinous act has made all of us to stand against such crimes," Fakhar said.

The group members marched silently to show support to the victim while on their way to offer chadder and prayers at the dargah. At the dargah, they sat for long offering prayers and spreading the message that such crimes are not acceptable in society. "We demand from this place for a strict law against such criminals and speedy trials," said Sheikh Julfikar Chishty, a khadim. He added, "The Centre and the state governments should check such incidents and make all our daughters secure."

Members of Sarv Dharm Sabha condemned the act and show their concern for the victim. Sardar Ajeet Singh, Nikunj Lawrence, Safi Baskh, Mohammad Tanveer and dozens of the members took part in the offering and the prayers.

Meanwhile, girl students of different city colleges demanded strict action against such criminals and marched on a rally from Gandhi Bhavan to the district headquarters. "It is the duty of the government to provide a secure atmosphere to us," a student of Sofia College.

Later, the girl students shouted slogans against the crime and demanded harsh punishment to the criminals. Similarly, several organizations also condemned the crime. A debate on the issue of law and its implementation was also organized in the city by the association of teachers and they asked the government to provide secure atmosphere to girls, specially to those who are going to school and colleges.

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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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Urban Advocates Say New Gun Control Talk Overdue

For years, voices have cried in the urban wilderness: We need to talk about gun control.

Yet the guns blazed on.

It took a small-town slaughter for gun control to become a political priority. Now, decades' worth of big-city arguments against easy access to guns are finally being heard, because an unstable young man invaded an elementary school in Newtown, Conn., with a military-style assault rifle and 30-bullet magazines. Twenty young children and six adults were slain.

President Barack Obama called the tragedy a "wake-up call." Vice President Joe Biden met Thursday with Obama's cabinet and law-enforcement officers from around the country to launch a task force on reducing gun violence. Lawmakers who have long resisted gun control are saying something must be done.

Such action is energizing those who have sought to reduce urban gun violence. Donations are up in some places; other leaders have been working overtime due to this unprecedented moment.

The moment also is causing some to reflect on the sudden change of heart. Why now? Why weren't we moved to act by the killing of so many other children, albeit one by one, in urban areas?

Certainly, Newtown is a special case, 6- and 7-year-olds riddled with bullets inside the sanctuary of a classroom. Even in a nation rife with violence, where there have been three other mass slayings since July and millions enjoy virtual killing via video games, the nature of this tragedy is shocking.

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But still: "There's a lot of talk now about we have to protect our children. We have to protect all of our children, not just the ones living in the suburbs," said Tammerlin Drummond, a columnist for the Oakland Tribune.

In her column Monday, Drummond wrote about 7-year-old Heaven Sutton of Chicago, who was standing next to her mother selling candy when she was killed in the crossfire of a gang shootout. Also in Chicago, which has been plagued by a recent spike in gun violence: 6-year-old Aaliyah Shell was caught in a drive-by while standing on her front porch; and 13-year-old Tyquan Tyler was killed when a someone in a car shot into a group of youths outside a party.

Wrote Drummond: "It has taken the murders of 20 babies and six adults in an upper-middle class neighborhood in Connecticut to achieve what thousands of gun fatalities in urban communities all over this country could not."

So again: What took so long? The answers are complicated by many factors: resignation to urban violence, even among some of those who live there; the assumption that cities are dangerous and small towns safe; the idea that some urban victims place themselves in harm's way.

In March, the Children's Defense Fund issued a report titled "Protect Children, Not Guns 2012." It analyzed the latest federal data and counted 299 children under age 10 killed by guns in 2008 and 2009. That figure included 173 preschool-age children.

Black children and teens accounted for 45 percent of all child and teen gun deaths, even though they were only 15 percent of the child/teen population.

"Every child's life is sacred and it is long past time that we protect it," said CDF president Marian Wright Edelman in the report.

It got almost no press coverage — until nine months later, when Newtown happened.

Tim Stevens, founder and chairman of the Black Political Empowerment Project in Pittsburgh, has been focusing on urban gun violence since 2007, when he said Pennsylvania was declared the worst state for black-on-black violence.

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