Winter Storms Spawn Tornadoes Across South

A nasty Christmastime storm system spawned blizzard conditions in some states and at least 15 reported tornadoes in the South, damaging homes, taking out power lines and dangerously snarling holiday travel.

Severe weather swept across the United States during the Christmas holiday, bringing tornadoes and intense thunderstorms to the Gulf Coast, while dumping heavy snow and freezing rain on the Southern Plains.

At least 15 tornadoes were reported today from Texas to Alabama, putting this storm system potentially on track to be one of the largest Christmas day tornado outbreaks on record.

One large tornado was reported in Mobile, Ala., where there are about 19,000 customers without power and 23,429 statewide, according to Alabama Power. Kerry Burns, a Mobile resident originally from Boston, said the storm "sounded like a freight train."

Some buildings in the area, including some churches and a local high school, were reportedly damaged. Ray Uballe, another Mobile resident, said his dad was shaken up.

"He was in his apartment," Uballe said. "He said it sounded like an airplane and then the door flung open and then there was just debris flying."

Douglas Mark Nix, president of the Infirmary Health System, said one of their Mobile hospitals lost power and sustained damage. There were no early reports of injuries to staff or patients.

"We are operating now on generator power," he said. "We do not have substantial damage but we do have a number of windows out and we have some ceiling tiles down, throughout the facility at the main hospital.

"We can run for at least two weeks but I saw power crews out all over the city so I fully expect power to be restored within the next day or so," Nix added.

Melinda Martinez/The Daily Town Talk/AP Photo

Winter Weather Causes Holiday Travel Problems Watch Video

At least eight states were issued blizzard warnings today, as the storms made highways dangerously slick heading into one of the busiest travel days of the year.

Oklahoma got about 7 inches of snow all over the state making for treacherous road conditions. ABC News affiliate KOCO-TV in Oklahoma City said the weather was being blamed for a 21-vehicle wreck on Interstate 40, but no one was seriously injured.

Ice accumulation in Arkansas bent trees and power lines, leaving at least 50,000 customers across the state without power. About 10 inches of snow fell on Fayetteville, Ark.

The storms, which first wreaked havoc on the West Coast before moving east, are being blamed for at least one death in Texas.

Investigators in the Houston area told ABC state KTRK-TV in Houston that a young man was trying to move a downed tree that was blocking the roadway when another one snapped and fell on top of him. He was later pronounced dead at a hopsital.

The last time a number of tornadoes hit the Gulf Coast area around Christmas Day was in 2009, when 22 tornadoes struck on Christmas Eve morning, National Weather Service spokesman Chris Vaccaro told ABC News over email.

The deadliest Christmastime tornado outbreak on record was Dec. 24 to 26, 1982, when 29 tornadoes in Oklahoma, Missouri, Arkansas, Tennessee and Mississippi killed three people and injured 32.

The last killer tornado around Christmas, Vaccaro said, was a Christmas Eve EF4 in Tennessee in 1988, which killed one person and injured seven. EF4 tornadoes can produce winds up to 200 mph.

No official word yet on the strength of the string of tornadoes reported today.

While some were preparing for a Christmas feast, others were hunkered down.

More than 180 flights nationwide were canceled by midday, according to the flight tracker FlightAware.com. More than half were canceled by American Airlines and its regional affiliate, American Eagle.

The storm system is expected to continue east into Georgia and the Carolinas Wednesday and could potentially spawn more tornadoes, according to the National Weather Service.

ABC News' Matt Gutman, Max Golembo and ABC News Radio contributed to this report.

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Spring Wish denied as suicide bomber brings down Afghan juice empire

KABUL (Reuters) - When a Taliban suicide bomber killed two people on the edge of the Afghan capital this month, there was another casualty - a global fruit juice business optimistically called "Spring Wish" which provided work for thousands of farmers across the country.

Mustafa Sadiq's empire had been expanding healthily, bringing in badly needed foreign capital, before the attack inflicted the kind of financial loss cash-strapped Afghanistan can ill afford.

The pomegranate juice business was nearly wiped out in the split second it took the militant to detonate explosives in a truck parked near the factory on December 17.

Pieces of shredded metal were scattered everywhere. Chairs were hurled across the office where Sadiq had spent so much time figuring out how to beat the odds against decades of war, instability and hopelessness.

Sadiq was in Dubai drumming up new export deals when an assistant called with the bad news. The call that Sadiq said he did not get is also troubling him.

"So far no officials, for the sake of sympathy, have called us," Sadiq, 40, told Reuters, standing beside a year's supply of juice in containers that were ruined in the attack - nearly $10 million in losses overall.

"In this situation they should have called me and asked what kind of help they could provide. The agriculture, finance, commerce ministries. Nobody so far has visited or called."

The impact of the war, and expectations for the future, are often seen only through the eyes of Western or Afghan soldiers, or officials who point to the progress that has been made.

Sadiq offers another perspective. Some workers told him the bomber triggered the loudest blast they had heard in 30 years.

A Soviet invasion of Afghanistan in 1979 was followed by a decade of resistance by mujahideen fighters who drove them out. Then warlords carved out fiefdoms and destroyed half of the capital in the civil war that followed.

DIRTY POLITICS

The Taliban took over, were toppled in 2001 and are now raising fears they may return when U.S.-led NATO troops hand over security to Afghan forces in 2014.

But Sadiq does not see the Taliban as the biggest threat to Afghanistan's future. Instead, he says, officials have turned politics into a commercial enterprise driven by corruption.

"Government employees think it's time to fill their pockets and grab whatever they can. That will pave the way for civil war," said Sadiq, as workers feverishly loaded boxes of the little fruit juice left onto a truck, and others worked to rebuild a brick wall.

"You have to struggle, not run away. It is kind of like running away now. They have walls around themselves sitting there and they do not have contact with ordinary Afghans."

His disillusionment is shared by the Afghanistan Chamber of Commerce and Industries.

"There is no guarantee for investment in Afghanistan. People are afraid of the government, there is no rule of law. Government officials can do anything they want," the chamber's first vice-chairman, Jan Alokzai, told Reuters.

"President (Hamid) Karzai's words are only on paper and don't have any value."

Afghanistan's U.S.-backed government says it is committed to building up the economy, attracting foreign investment and helping Afghans secure a brighter future. Karzai says it is contracts with foreigners that spread graft.

WISHFUL THINKING?

The government has highlighted 2014 as a year to invest in Afghanistan, which relies heavily on foreign aid, and to take advantage of its cheap labor and land leases.

In each of the 10 years following 2014, the government hopes revenues from oil, natural gas, iron, copper and other mining ventures will generate $4 billion in revenue.

Sadiq spent time in Europe, waiting for an opportunity to return and invest in his homeland. He eventually opened a factory in an industrial park along Kabul's dusty Jalalabad Road in 2008, from where he broke into overseas markets.

Spring Wish, which employed about 1,000 people, was selling produce to the health conscious in Europe, Asia and the Middle East, bringing money into Afghanistan, while anxious Afghans carted $4.5 billion in cash out of the country last year to safety.

But when asked about the maps on a wall identifying parts of Afghanistan which offer opportunities for farmers and businesses like his, Sadiq could only put his head in his hands and cry.

The dark red seeds from Sadiq's fruits were prized in Europe for their antioxidant qualities, and in Japan where many believe they can help fight cancers. He seems most proud of the fact that he helped 40,000 farmers across Afghanistan earn a living.

As Sadiq tries to persuade his staff to keep dreaming big and to rebuild, one question may haunt him for some time. The suicide bomber parked his truck in a lane between his company and a foreign firm.

The Taliban said it attacked an American company next door, but he still wonders whether his factory, which relied on Italian machinery and benefited from U.S. aid programs, was the target. And he acknowledges he is desperate for money from Western donors.

"Around 120 people were working here and this factory was totally destroyed in the suicide attack," said Mohammed Jaw, 28, a general operator for the company. "A number of our workers will lose their jobs and now everyone is concerned about what happens next."

Despite the loss, Sadiq's entrepreneurial and marketing spirit seems intact.

"Have you tried the juice with mulberry flavor?" he asked proudly. "It's really good."

Then a worker brought the moment back to reality. He lifted his cellphone to show a photograph of the suicide bomber's severed head.

(Additional reporting by Mirwais Harooni; Editing by Nick Macfie)

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All 27 killed in Kazakh military plane crash

ALMATY, Kazakhstan: All 27 people on board a Kazakh military jet that crashed while carrying the Central Asian state's top border guard officials have died, the state security service said Wednesday.

"All 27 occupants of the aircraft, including seven crew members, have perished," the National Security Service (KNB) said in a statement.

The victims included the acting head of the Kazakh federal border service Turganbek Stambekov and his wife, the statement said.

The 22-year-old plane crashed late Tuesday about 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 the jet fell from a height of 800 metres (2,600 feet). Witnesses also reported hearing a loud explosion at the time of the crash.

Footage of the crash site aired on Kazakh state television on Wednesday showed only fragments of the An-72 military transport plane remaining on the ground.

But the KNB security service stressed that the plane had recently undergone all the necessary checks and repairs.

"In 2012, it underwent restoration work at the Antonov repair plant in Ukraine," its statement said.

Khabar state television also cited local residents as saying that a heavy winter storm had descended on the region at the time of the accident.

It said the plane caught fire after the crash.

Kazakh official sealed off the site of the disaster on Wednesday as they launched an investigation into one of the most serious air accidents in the country's post-Soviet history.

The KNB statement said the senior security team, which also included the heads of the regional border guard services, had been flying to an end-of-year security meeting in Shymkent.

The border guard service of Kazakhstan -- a vast resource-rich nation nestled between China and Russia -- experienced a number of setbacks during the past year.

Its acting head Stambekov was appointed to his post in June after his predecessor was fired following a May incident in which 14 border guards were shot dead in a remote outpost in the south of the country.

The sole border guard to survive the shooting confessed during a subsequent trial that he killed his colleagues, but retracted his confession after being handed a life sentence, saying unidentified people in civilian clothes were responsible.

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.

In November, eight people were killed in Kazakhstan when a Russian-made Mi-8 helicopter crashed while on a pipeline surveillance mission.

- AFP/ck

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Delhi gang rape: Traffic restrictions eased as protests calm down

NEW DELHI: Delhi Police eased traffic restrictions at India Gate and Raisina Hill on Wednesday but did not lift prohibitory orders even as protests over the gang-rape of a girl calmed down.

Traffic was smooth at India Gate and Raisina Hill, which witnessed violent weekend protests. Nine Metro stations, which were closed since Sunday morning, have already been opened for public from Tuesday evening.

Meanwhile, the crime branch of Delhi Police will investigate the death of constable Subhash Tomar during Sunday's anti-rape protests at India Gate.

Questions have been raised over the cause of the constable's death. Doctors at Ram Manohar Lohia Hospital said the constable had no major external injury marks when he was brought to the hospital and that he had suffered a heart attack.

A journalism student Yogendra, who claimed to be a witness, said constable Subhash Tomar fell down on his own, contradicting police version that he was beaten up by protesters leading to his death.

"I was at India Gate with a female friend who was injured. I saw one policeman who was running after protesters and then suddenly collapsing. We rushed towards him and some policemen were also there. Suddenly, the policemen started running after other protesters.

"So I rushed to a nearby PCR van. They took him to hospital. I also went in the same vehicle. I saw him in hospital and his body didn't have any injuries. He wasn't trampled by a mob, he wasn't assaulted. The claims of police are false. I am surprised to hear that 8 were arrested over Subhash Tomar's death," he claimed.

Delhi Police declined to be drawn into the controversy with its spokesperson Rajan Bhagat saying "no comments till the post mortem report is out".

On Tuesday, police commissioner Neeraj Kumar had said that Tomar had suffered internal injuries in his neck, chest and stomach and were waiting for the post mortem report to ascertain the exact cause of his death. Tomar died on Tuesday morning.

Arvind Kejriwal-led Aam Aadmi Party demanded sacking of Delhi police commissioner alleging that the police were misleading people by arresting eight "innocent youth" in connection with the incident.

Reacting to Yogendra's claims, Kejriwal said his account was opposite of what police said. "Is police lying?" he asked.

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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 Christmas: 'We Know They'll Feel Loved'

People sharing in Newtown's mourning have brought handmade snowflakes and cards to the town, as residents prepare to observe Christmas less than two weeks after a gunman killed 20 children and six educators at an elementary school.

Julio Cortez, File/AP Photo

U.S. Sends Christmas Wishes to Newtown, Conn. Watch Video

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Small empty Christmas stockings with the victims' names on them hang from trees in the neighborhood where the children were shot. On Christmas Eve, residents said they would light luminaries outside their homes in memory of the victims.

Several hundred people attended Christmas Eve services at Trinity Episcopal Church, less than 2 miles from the school.

Pastor Kathie Adams-Shepherd led the congregation in praying "that the joy and consolation of the wonderful counselor might enliven all," especially those families affected by the shootings in Sandy Hook.

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U.N. General Assembly voices concern for Myanmar's Muslims

UNITED NATIONS (Reuters) - The U.N. General Assembly expressed serious concern on Monday over violence between Rohingya Muslims and Buddhists in Myanmar and called upon its government to address reports of human rights abuses by some authorities.

The 193-nation General Assembly approved by consensus a non-binding resolution, which Myanmar said last month contained a "litany of sweeping allegations, accuracies of which have yet to be verified."

Outbreaks of violence between ethnic Rakhine Buddhists and the Rohingyas have killed dozens and displaced thousands since June. Rights groups also have accused Myanmar security forces of killing, raping and arresting Rohingyas after the riots. Myanmar said it exercised "maximum restraint" to quell the violence.

The unanimously adopted U.N. resolution "expressing particular concern about the situation of the Rohingya minority in Rakhine state, urges the government to take action to bring about an improvement in their situation and to protect all their human rights, including their right to a nationality."

At least 800,000 Muslim Rohingyas live in Rakhine State along the western coast of Myanmar, also known as Burma. But Buddhist Rakhines and other Burmese view them as illegal immigrants from neighboring Bangladesh who deserve neither rights nor sympathy.

The resolution adopted on Monday is identical to one approved last month by the General Assembly's Third Committee, which focuses on human rights. After that vote, Myanmar's mission to the United Nations said that it accepted the resolution but objected to the Rohingyas being referred to as a minority.

"There has been no such ethnic group as Rohingya among the ethnic groups of Myanmar," a representative of Myanmar said at the time. "Despite this fact, the right to citizenship for any member or community has been and will never be denied if they are in line with the law of the land."

(Reporting By Louis Charbonneau; Editing by Paul Simao)

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Tennis: Don't expect miracles, warns returning Nadal

ABU DHABI: Rafael Nadal will make his long-awaited return to tennis after an agonising six-month knee injury battle in the Gulf this week, but has warned he is not expecting any title-winning pyrotechnics.

The 26-year-old Spaniard joins world number one Novak Djokovic and third-ranked Andy Murray in the six-player, three-day Mubadala Championships ahead of his return to the ATP circuit at Doha from December 31.

Nadal hasn't played since his shock second round exit to 100th-ranked Lukas Rosol at Wimbledon in June, missing the Olympics, the US Open as well as the Davis Cup final against the Czech Republic which his country lost.

Although desperate to play again, Nadal is equally keen to play down expectations.

"Abu Dhabi is a test. My goal is not this week, not Doha or the Australian Open. My goal is to get fit, recover all my feelings. The only thing I care about is the knee," the seven-time French Open champion said.

"The idea is to go from there. I won't give much value to what will happen next month or in two months. My real goal is to start in perfect condition at Indian Wells and Miami and reach Monte-Carlo with good feelings, to face the clay season in good condition."

Nadal, an 11-time Grand Slam title winner, has been plagued by knee injuries throughout his career, a legacy of his all-action style.

But he shrugged off any fears that despite falling to number four in the world rankings, he is no longer a threat to Djokovic, Murray and world number two Roger Federer.

"I haven't forgotten how to play. I have played over 600 ATP matches and I have spent two years without playing. My feeling is good. I won Roland Garros and those emotions are still me," he said.

"I know I'm going to play in Abu Dhabi without the knee being great, but I feel better. The doctors say it is fine and that is great news for me. I still feel something, it's not perfect."

Nadal insisted he is not bitter over his recent experiences.

"I have accepted it as normal, as part of my career, part of my job. It's another challenge," he told marca.com.

"All I can do is try. But people have to realise that when you're so many months without competing you need time to progress."

The tournament in Abu Dhabi also features world number five David Ferrer of Spain, world number six Tomas Berdych of the Czech Republic and Serb Janko Tipsarevic, the world number nine.

Nadal is expected to make his bow on Friday against either Olympic and US Open champion Murray or Tipsarevic.

- AFP/de

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Delhi gang rape case: Sheila Dikshit complains to Shinde over 'interference' by top cops

NEW DELHI: A controversy has erupted over the recording of the statement of the 23-year-old gang rape victim with Delhi chief minister Sheila Dikshit complaining to home minister Sushilkumar Shinde that senior police officials "interfered" in the process even as she sought a high-level inquiry into it.

In a letter to Shinde, Dikshit cited a communication to her by deputy commissioner (East) BM Mishra that sub-divisional magistrate Usha Chaturvedi had complained about senior police officials' interference while she was recording the statement of the victim who was gang-raped and brutally assaulted in a moving bus on December 16.

Home ministry sources said they are likely to order a probe into the chief minister's complaint and the inquiry team would be headed by a woman officer. "We are taking the complaint very seriously," a senior home ministry official said.

The chief minister was "very upset" over the contents of the letter sent by the deputy commissioner and decided to write to Shinde seeking a thorough probe into the incident, Delhi government sources said.

In the complaint, they said, the SDM said that the officers had prevented the video recording of the victim's statement. It was also alleged that the police officers wanted the SDM to use a questionnaire they prepared.

When she refused to do so, sources said, police officials misbehaved with the SDM.

Police denied the allegations levelled by the SDM and claimed that it was the mother of the victim who insisted that the testimony should not be videographed.

Police sources said the three officers named by the SDM were not in the hospital room when the victim recorded her statement and that the magistrate was free to ask the student any questions she wanted.

The victim has signed the statement and it shows that it was not recorded under duress, sources said.

If required, they said, they will help facilitate a fresh recording of the statement.

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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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