Winter Storms, Tornado Threats for Christmas in US

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Egyptians fret over economy after rancorous vote on constitution

CAIRO (Reuters) - Egypt prepared to announce on Tuesday the result of a vote on a new constitution that Islamist President Mohamed Mursi hails as a step toward stability in a country beset by political and economic crisis.

But critics say that by ramming through the basic law, Mursi has angered his liberal, leftist and Christian opponents, and may have squandered any chance of building a broad consensus on tax rises needed to rein in a crushing budget deficit.

Unofficial tallies from Mursi's Muslim Brotherhood showed the charter was approved by a 64 percent majority. The electoral commission will announce the official result at 1700 GMT, with the final numbers widely expected to confirm earlier estimates.

Mursi believes the constitution will end a protracted period of turmoil that has haunted the most populous Arab nation since the fall of military-backed strongman Hosni Mubarak in 2011.

But ordinary people and some commentators worry that Mursi's approach in pushing through the contentious text will only galvanize his rivals to capitalize on any public backlash against austerity rather than help sell reforms to the nation.

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 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."

If the "yes" vote is confirmed, a parliamentary election will follow in about two months, setting the stage for Islamists to renew their struggle with more liberal-minded opponents.

On the political front, tensions remain high. The opposition says the constitution, crafted mostly by Mursi's Islamist allies, fails to guarantee personal freedoms and the rights of women and minorities. The government denies this.

ECONOMIC WORRIES

Once a darling of emerging market investors, Egypt's economy has taken a hammering since Mubarak's fall.

The budget deficit surged to a crippling 11 percent of gross domestic product in the financial year that ended in June 2012 and is forecast to exceed 10 percent this year.

In a further worrying sign, Egypt has made it illegal for travelers to carry more than $10,000 in cash in or out of the country amid growing fears the government may not be able to get its fragile finances under control.

Reflecting investor concerns, Standard and Poor's cut Egypt's long-term credit rating this week and said another cut was possible if political turbulence worsened.

Adding fuel to people's worries, the central bank also said it was taking steps to safeguard bank deposits, in a statement which emerged after some Egyptians said they had taken out cash out of concern their accounts would be frozen by authorities.

Without broad support, Mursi will find it hard to implement reforms needed to secure a $4.8 billion loan from the International Monetary Fund.

Shortly before the referendum, Mursi enraged many by introducing hikes on the sales tax on goods and services that ranged from alcoholic beverages, cigarettes and mobile phone calls to automobile licenses and quarrying permits.

In an embarrassing policy U-turn, he withdrew them within hours under criticism from his opponents and the media.

Facing public anger, the Muslim Brotherhood's party, which propelled Mursi to office in an election earlier this year, may now also face a tougher fight in the parliamentary election.

(Writing by Maria Golovnina; Editing by Alistair Lyon)

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Thai court jails ex-trader over royal health web rumours

BANGKOK: A Thai court jailed a former equity trader for four years on Tuesday for posting false Internet messages about the king's health that sent stocks plunging in 2009, an official said.

Katha Pajariyapong, 39, was found guilty of three counts of breaching the kingdom's controversial computer crime laws in messages posted under his username on the Sameskybooks.org Internet forum.

The messages on October 14-15 in 2009 were followed by a slump in the Thai stock market -- which at one stage plunged by more than eight per cent -- over rumours about the condition of the revered but ageing King Bhumibol Adulyadej.

The court found Katha, of brokerage company KT ZMICO, guilty despite his denials during trial, a court official told AFP, adding "he is sentenced to four years in jail immediately".

An initial sentence of six years was reduced by a third because he had confessed when he was first charged three years ago, despite later pleading not guilty at trial.

The monarchy is a highly sensitive topic in politically turbulent Thailand. The 85-year-old king, who is revered as a demi-god by many Thais, has been hospitalised since September 2009.

Soon after Katha was charged a media rights group called for the dismissal of the "baseless" charges against him, and two others.

The trio were charged under section 14 of the computer crime act which punishes anyone found guilty of spreading "false information into the computer system" that damages national security or causes the public to panic.

Thailand also has a strict lese majeste law under which insulting or defaming any members of the royal family is punishable by up to 15 years in jail.

The Internet has become one of the key battlegrounds for Thailand's complex political debates with social networks surging in popularity over the last few years.

Tens of thousands of web pages have been removed from the Internet in recent years from for allegedly insulting the monarchy.

- AFP/jc

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Delhi gang-rape case: Congress core group reviews situation after protests

NEW DELHI: The Congress core group on Tuesday reviewed the situation in the Capital in the wake of protests over the gang-rape incident emphasising that police should deal with the matter with sensitivity while there should be no room for violence.

The two-and-a-half hour long meeting at Prime Minister Manmohan Singh's residence was attended by Congress president Sonia Gandhi, defence minister A K Antony, finance minister P Chidambaram and Gandhi's political secretary Ahmed Patel. Union home minister Sushilkumar Shinde and parliamentary affairs minister Kamal Nath were special invitees.

The meeting noted that there was calm in the streets of Delhi. Sources said the meeting was apprised of the fact that the government has requested the protesting student organisations and other groups to send their suggestions to the J S Verma Committee set up to rewrite the rape laws.

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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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Newtown Inspires Country to Spread Kindness

While the shootings at Sandy Hook Elementary School have no doubt left the nation shaken, they have also inspired an outpouring of acts of kindness from across the nation and around the world.

The central hub of many of these is on display in the U.S. Post Office in Newtown, Conn., a community shaken by the killing of 20 children and six school staff members by 20-year-old Adam Lanza, who also killed his mother and shot himself.

Mountains of mail and packages are flowing in from all over the world. Some are simply addressed to "Newtown" or specific families who lost people in the shootings. They're coming with return addresses ranging from Idaho to Virginia Beach and far beyond.

"I think I saw Brazil, Australia, (one addressed to) 'Anybody in Newtown who needs a hug.' It is just amazing," said a postal employee in Newtown.

In the town hall, donated toys are piling up just in time for Christmas.

Kindness is even flowing from victims of other tragedies like Hurricane Sandy, who sent hundreds of teddy bears to hand out to children in the community.

"We've had so much help, we wanted to pay it forward and try to help somebody else," one woman said.

Now, Newtown is hoping people everywhere "pay it forward" in their own communities, with the memory of those lost in the shootings serving as inspiration.

It's a concept that seems to be spreading across America.

Gun Violence Victims, Survivors Share Thoughts After Newtown Massacre Watch Video

Newtown Shooting: Moment of Silence in Connecticut Watch Video

In Michigan, a secret Santa of sorts paid off everyone's layaway items at a store there.

Reports are streaming in on Twitter from around the nation of others receiving coffees or meals paid for anonymously by others.

In New Jersey, Kristen Albright told ABC News she found an anonymous card in her shopping cart at Target, where she had gone to buy ingredients for holiday cookies.

She looked down, and found a gift card to Target inserted into a greeting card that asked her to pay it forward to others, in honor of Newtown shooting victim Catherine Hubbard.

"It really made me stop. I was frozen. It made me think about that little girl," Albright said.

Inspired, she did what the card asked, and gave it to a bank teller at the other end of a deposit she was making. Albright says her 11-year-old son Jackson has begun randomly giving now too.

"It really made me think of the bigger picture and family and friends, and extending that kindness to strangers as well," Albright said.

Stacey Jones of Surprise, Ariz., wrote ABC to say she too has been inspired.

"I went to Target, purchased two gift cards, put them in separate envelopes along with the message and handed them to strangers as I exited the store and entered the parking lot," Jones said. "It really felt good to do a small kind deed for someone."

Nicole Reyes of Boston had never heard of the growing movement of kindness when she found a ziplock bag tucked underneath her windshield on her way to work this morning. Inside, she found a Christmas lollipop with a note on a Christmas card that said it was, "In memory of Emily Parker, 6." And urged her to "Pay it forward!"

"I took a minute to remind myself of how amazing it is that a community and entire nation can come together in the wake of such tragedy," Reyes said. "I ran into my house to show my mother the note. After reading it she immediately started crying. It was a special moment for her and I."

If you would like to share other stories related to this or anything else you can do so by tweeting this correspondent @greenblattmark.

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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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New industries revitalising China's north eastern region

BEIJING: Once a thriving industrial base, China's north eastern region slipped into depression when several state-owned enterprises shut down in the 1990s as part of economic restructuring.

Still, growth is now slowly but surely returning to the region.

A currency exchange built by the Japanese during World War Two is still in use today in China's northeastern city of Changchun in Jilin Province.

Now home to a bank, the Grecian-style building is a reminder of the city's past, when it was once the capital of Manchuko, a puppet-state under Japanese occupation.

Today, Changchun is better known as China's automobile capital.

But more recently, car sales nosedived following the anti-Japanese protests.

This comes as some major Chinese cities like Guangzhou imposed car ownership restrictions to clean up the air and road conditions.

Chen Werigen, Vice Mayor of Jilin Province, said: "It's impossible we're not affected. But people would now buy cars they like more than before, or cars of better quality and that creates more opportunities for sales. Secondly, we also have a huge rural market that doesn't restrict car ownership. And we're developing new energy vehicles for export. These are the measures we're taking to manage car ownership restrictions in some cities."

But Changchun faces other challenges like the slow growth of private enterprises and poor transport links, with construction of a subway only starting in 2010.

Changchun as part of the northeast was one of the first to industrialise and prosper. But they fell back in the 1990s during the restructuring of state-owned enterprises and hundreds of thousands went jobless.

Things only started looking up after the new millennium when China's central government implemented reforms to revitalise the region.

These include encouraging private companies like Haoyue, China's largest Islamic beef-processing firm by export volume, to set up base.

It now hires 20,000 people at its plant, and accounts for half of China's total exports of beef products to 23 countries, including the Middle East and Russia.

The firm is now diversifying into the production of animal feed, another industry which authorities in the northeast are keen to develop.

Zhang Guohua, CEO of Haoyue Group, said: "For the next five years, we'll increase our investment in animal feed production. The aim is to make us the biggest manufacturer and seller of animal feed amongst the three provinces in the northeast."

And hopefully that will pave the way for greater economic growth in Changchun in the long term.

- CNA/de

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Two LeT militants, policeman killed in encounter in J&K

SRINAGAR: Two Lashker-e-Taiba militants, allegedly involved in an attack on a hotel in the city, and a policeman were killed in a fierce gunbattle between security forces and ultras in Kulgam district of south Kashmir on Monday.

The gunfight erupted in Dodhipora village, some 75-km from here, when a joint team of police and Rashtriya Rifles launched a search operation to flush out hiding militants, a police spokesman said.

Security forces confronted the ultras and in the ensuing gunbattle, two LeT ultras and a policeman were killed, he said.

The slain militants were identified as Mudasir Sheikh alias Mavia, a self-styeld district commander, and his Pakistani associate Tamim.

"Both the militants were involved in an attack on a prominent hotel on the outskirts of Srinagar last October," the spokesman said.

Two hotel employees were killed when militants opened fire on Silver Star hotel and an army convoy passing through Lasjan bypass on October 19.

On December 19, six hardcore LeT militants were killed in a gunfight with security forces in Sopore town in north Kashmir's Baramulla district.

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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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