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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Scottish boy dies in Australian Outback

SYDNEY: A 14-year-old Scottish boy has died in searing heat in the harsh Australian Outback while hiking with his father, police said.

Ewan Williamson, who arrived in Australia in mid-December, collapsed four hours into the walk in the Cape Range National Park on Friday with little water or shade as temperatures soared above 40 degrees Celsius (104 Fahrenheit).

In naming the boy who died in hospital, police said late Sunday that his father alerted authorities who located the pair 20 kilometres (12 miles) south of Exmouth in Western Australia.

The cause of death is yet to be determined but reports said he was severely dehydrated.

It was the second death in six weeks in Australia's harsh interior after a 25-year-old man died of thirst in remote southeast Queensland state last month, prompting police warnings about the risks of the desert.

- AFP/al

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Putin targets arms deals, doubling trade on India visit today

NEW DELHI: Russian President Vladimir Putin pledged to tighten defence ties with India and double levels of bilateral trade within three years as he headed to New Delhi for a summit on Monday.

Accompanied by several senior ministers and military officials, Putin will meet Prime Minister Manmohan Singh on a one-day visit designed to highlight the strong ties between two traditional allies and fellow BRICS.

"I would like to stress that deepening of friendship and cooperation with India is among the top priorities of our foreign policy," Putin wrote in an article for The Hindu, an Indian daily, ahead of his visit.

India is now the world's largest arms importer and Russian-made military equipment accounts for 70 per cent of Indian arms supplies.

However, while Russia once had a virtual monopoly over India's arms market, New Delhi has been shopping around of late and the visit is seen in Moscow as a chance to regain lost ground and develop joint projects.

"The strategic nature of partnership between India and Russia is witnessed by the unprecedented level of our military and technical cooperation," Putin wrote in his article, saying "the joint development of advanced armaments rather than just purchasing military products" would be key to future relations.

His comments echoed those of Indian Foreign Minister Salman Khurshid who said Friday that "India is committed to strengthening and enhancing this relationship, both on economic and strategic ties".

"There is a lot of work in progress and a lot of issues and agreements will be taken up," he told reporters.

The Kremlin has said that a number of major contracts on military-technical cooperation would be inked during the visit — Putin's first to South Asia since his return to the Kremlin in May.

Likely tie-ups are expected to involve Russia's Sukhoi aircraft manufacturer, including a $3.77 billion deal for 42 Su-30MKI fighters and a deal to produce the fifth generation Sukhoi fighter — a joint Russia-India project, according to Igor Korotchenko, director of the Centre for Analysis of World Arms Trade.

Moscow has been worried recently by New Delhi's increasing preference for western suppliers, especially after Boeing was chosen last month over Russia's MiL plant for a major helicopter contract.

India has also been unhappy with delays of deliveries of some naval equipment, notably of the aircraft carrier Admiral Gorshkov, which is being refurbished for the Indian Navy at Russia's Sevmash naval yard.

Russia was originally to deliver the upgraded vessel in August 2008, but the date has now been pushed back to the end of 2013, while the price has more than doubled to $2.3 billion.

According to Indian government figures, bilateral trade has been growing steadily and is expected to reach around 10 billion dollars in 2012, up from 7.5 billion in 2009.

Putin set out a goal of doubling bilateral trade in just three years.

"Our trade turnover has overcome the consequences of global crisis, and in 2012 we expect to reach record numbers, over $10 billion. Our next goal is to reach $20 bln already by 2015," he said.

Russia and India are both so-called BRICS, the bloc of emerging powers which is seeking to act as a counterweight to western powers and which also includes Brazil, China and South Africa.

India is hoping Russia will help it achieve its ambition of joining an expanded UN Security Council which currently only has five permanent members — Russia, China, the United States, France and Britain.

The Kremlin said that Russia sees India "as one of the worthy and strong candidates for a permanent seat in the expanded UN Security Council".

As well as his talks with Singh, Putin is also due to meet the ruling Congress party chief Sonia Gandhi and Sushma Swaraj, leader of the opposition BJP.

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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.

Critics Slam NRA for Proposing Armed School Guards Watch Video

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

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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Egypt constitution approved in vote: Islamist official

CAIRO (Reuters) - Egypt's new constitution, which was drafted by an Islamist-dominated assembly, was approved by 64 percent of voters in a two-round referendum, an official in the Muslim Brotherhood said on Sunday citing the group's unofficial tally.

The result followed votes held on December 15 and on Saturday.

"According to our calculations, the final result of the second round is 71 percent voting 'yes' and the overall result (of the two rounds) is 63.8 percent," the official, who was in an operations room monitoring the vote, told Reuters.

The same figures were used by a Brotherhood-run television channel.

(Writing by Edmund Blair; Editing by Bill Trott)

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Avramovic: It's not about me

SINGAPORE: In his near decade-long spell as Singapore's national coach, Radojko Avramovic has always cut an intriguing figure - a fuss-free man of few words, gruff at times, but always charming with the occasional dose of deadpan humour.

And in typical understated fashion, he played down his role in masterminding the Lions' path to victory in the 2012 ASEAN Football Federation (AFF) Suzuki Cup after a 3-2 aggregate win over Thailand despite losing the second-leg 1-0 at Bangkok's Supachalasai Stadium on Saturday.

It was Singapore's fourth AFF Championship title - a record - three of which were under Avramovic.

Even though he is bowing out as the Lions' head coach, the 63-year-old Serb preferred that the talk centred on his 22-man squad.

"There was no loser in this final," said Avramovic after Saturday's tempestuous encounter.

"We won in Singapore and Thailand won in Bangkok. We gave our best and Thailand gave their best too. But in the end, luck favoured us a little and that's why we won the Cup."

In his nine-and-a-half years as Lions coach, the former Notts County and Coventry City goalkeeper sealed his reputation as a tough taskmaster who usually said what he needed to say in a short and sharp manner.

Like most in his trade, he faced calls for his head on several occasions when results did not go his way, including the group stage exit from the 2010 AFF Suzuki Cup.

But throughout the years, Avramovic, who succeeded Dane Jan Poulsen as Singapore's head coach in July 2003 after spells with Oman and Kuwait, stuck with the likes of veterans Daniel Benett, Baihakki Khaizan, Shahril Ishak and Khairul Amri, all of whom were part of his three AFF Championship winning squads of 2004, 2007 and now 2012.

And that solidity and familiarity showed on Saturday night, as they withstood a Thai onslaught that started almost from the first whistle.

In a rare public show of emotion, Avramovic paid tribute to them, as well as all involved with the squad.

"I say a big thank you to my players. They won the cup for Singapore and I only played a small part," he said. "But we trusted each other and we use the trust to build a winning team.

"Maybe I have been lucky in the sense that I managed to win three AFF titles with Singapore. But there was the unwavering support from everybody connected with the team which helped a lot. I alone cannot do such a job."

Although Kirati Keawsombut's 45th minute header giving Thailand the eventual 1-0 win in Saturday's second-leg, Singapore prevailed thanks to their 3-1 win in Wednesday's first-leg at the Jalan Besar Stadium through goals from Fahrudin Mustafic, Amri and an injury-time strike from Baihakki which proved decisive.

Thailand were also looking to become the first side to lift the AFF Championship trophy four times, having done so in 1996, 2000 and 2002, and they needed at least a 2-0 victory to draw 3-3 and win on the away goals rule to do so.

But the likes of Datsakorn Thonglao and Teerasil Dangda, the tournament's leading scorer with five goals, failed to find a way past a resolute Lions more than once despite vociferous support from the 20,000 crowd inside the Supachalasai Stadium.

Nonetheless, Thailand coach Winfried Schafer felt his team had done their best.

"We gave 100 per cent but it was not enough," said the German.

"We were very tired in the last ten minutes but overall I am proud my team. At least we scored a victory over Singapore but one goal was not enough. I don't like being in second place but what to do? I accept the result."

Apart from Avramovic, it is also the last for 42-year-old forward Aleksandar Duric in Singapore colours. But midfielder Isa Halim is sure to feature in the tournament's next edition in 2014, which is set to be co-hosted by Singapore and Vietnam.

"It's my first AFF tournament and I am a winner of a championship medal," said the 26-year-old who came in after Hariss Harun suffered a fractured shin in Singapore's second Group B match against Indonesia.

"Words just cannot describe my feelings right now. Hopefully I can use this experience to help me become a better player in the international arena.

"It was a tough 90 minutes for me as a defensive midfielder. But I will learn from it."

Isa's midfield partner Fahrudin Mustafic also played in a vital role over the two-legged final, including converting a twice-taken penalty to give the Lions the lead in the first-leg.

Despite suffering a groin injury which threatened his chances of appearing in the final, the 31-year-old Tampines Rovers star soldiered on and kept the Thai midfield of Datsakorn Thonglao, Pichitphong Choeichiu and Adul Lahsoh at bay.

"It was sheer hard work for us tonight. The Thais were the better team I have to admit," he said.

"But now with the medal around my neck I can look forward to a well-earned rest. It has been a long two months for me. Right after the S-League season is over I reported for training with the National team and I have been on my toes since then.

"I am not complaining. The medal means so much to me and to the team and to coach Raddy. He had faith in us and we had faith in him." -- ADDITIONAL REPORTING FROM DAN GUEN CHIN IN BANGKOK

- TODAY/jc

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Punjab’s toxic water kills in womb: Study

CHANDIGARH: The toxic groundwater in Punjab villages along five major waste drains ——Buddha, Hudiara, Kala Singha East Bein and Tung Dhab —is having dangerous fallout. It is resulting in rise in stillbirths and spontaneous abortions as well as delayed language learning and mental growth in children under the age of 12. These startling facts have come out in a study recently published in an international journal, which examines the impact of the deadly cocktail of heavy metals present in groundwater on women and children.

This is the first bit of evidence from North India that shows a link between heavy metal and pesticide pollution of water and reproductive and child health morbidity. Leave aside the toxicity in cattle milk, even mother's milk has been found to have high levels of metals.

The study published in Journal Epidemiol Community health covers 35 villages in Amritsar, Ludhiana and Jalandhar districts of Punjab, where toxicity has been ascertained. The study's main investigator, Dr J S Thakur, from PGI's school of public health had been the first to establish the toxicity in Punjab's groundwater.

In a cross-sectional community-based survey, 1904 women in reproductive age group and 1762 children below 12 from 35 villages were interviewed for general health morbidity. Doctors also conducted their clinical examination. Out of 35 villages, 25 served as target (exposed) and 10 as non-target (less exposed).

Spontaneous abortion (20.6 per 1000 live births) and premature births (6.7 per 1000 live births) were significantly higher in the area affected by heavy metal and pesticide pollution. Stillbirths were about five times more as compared to a meta-analysis for South Asian countries. A large proportion of children in target area was reported to have delayed language learning, blue line in the gums, mottling of teeth and gastrointestinal problems. Mercury was found in more than permissible limits in 84.4% samples from the target area.

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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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Obama Still an 'Optimist' on Cliff Deal

Mandel Ngan/AFP/Getty Images

WASHINGTON D.C. – Ten days remain before the mandatory spending cuts and tax increases known as the “fiscal cliff” take effect, but President Obama said he is still a “hopeless optimist” that a federal budget deal can be reached before the year-end deadline that economists agree might plunge the country back into recession.

“Even though Democrats and Republicans are arguing about whether those rates should go up for the wealthiest individuals, all of us – every single one of us -agrees that tax rates shouldn’t go up for the other 98 percent of Americans, which includes 97 percent of small businesses,” he said.

He added that there was “no reason” not to move forward on that aspect, and that it was “within our capacity” to resolve.

The question of whether to raise taxes on incomes over $250,000 remains at an impasse, but is only one element of nuanced legislative wrangling that has left the parties at odds.

For ABC News’ breakdown of the rhetoric versus the reality, click here.

At the White House news conference this evening, the president confirmed he had spoken today to Senate Majority Leader Harry Reid, D-Nev., and House Speaker John Boehner, R-Ohio, although no details of the conversations were disclosed.

The talks came the same day Speaker Boehner admitted “God only knows” the solution to the gridlock, and a day after mounting pressure from within his own Republican Party forced him to pull his alternative proposal from a prospective House vote. That proposal, ”Plan B,” called for extending current tax rates for Americans making up to $1 million a year, a far wealthier threshold than Democrats have advocated.

Boehner acknowledged that even the conservative-leaning “Plan B” did not have the support necessary to pass in the Republican-dominated House, leaving a resolution to the fiscal cliff in doubt.

“In the next few days, I’ve asked leaders of Congress to work towards a package that prevents a tax hike on middle-class Americans, protects unemployment insurance for 2 million Americans, and lays the groundwork for further work on both growth and deficit reduction,” Obama said. ”That’s an achievable goal.  That can get done in 10 days.”

Complicating matters: The halls of Congress are silent tonight. The House of Representatives began its holiday recess Thursday and Senate followed this evening.

Meanwhile, the president has his own vacation to contend with. Tonight, he was embarking for Hawaii and what is typically several weeks of Christmas vacation.

However, during the press conference the president said he would see his congressional colleagues “next week” to continue negotiations, leaving uncertain how long Obama plans to remain in the Aloha State.

The president said he hoped the time off would give leaders “some perspective.”

“Everybody can cool off; everybody can drink some eggnog, have some Christmas cookies, sing some Christmas carols, enjoy the company of loved ones,” he said. “And then I’d ask every member of Congress, while they’re back home, to think about that.  Think about the obligations we have to the people who sent us here.

“This is not simply a contest between parties in terms of who looks good and who doesn’t,” he added later. “There are real-world consequences to what we do here.”

Obama concluded by reiterating that neither side could walk away with “100 percent” of its demands, and that it negotiations couldn’t remain “a contest between parties in terms of who looks good and who doesn’t.”

Boehner’s office reacted quickly to the remarks, continuing recent Republican statements that presidential leadership was at fault for the ongoing gridlock.

“Though the president has failed to offer any solution that passes the test of balance, we remain hopeful he is finally ready to get serious about averting the fiscal cliff,” Boehner said. “The House has already acted to stop all of the looming tax hikes and replace the automatic defense cuts. It is time for the Democratic-run Senate to act, and that is what the speaker told the president tonight.”

The speaker’s office said Boehner “will return to Washington following the holiday, ready to find a solution that can pass both houses of Congress.”

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