Predicting who's at risk for violence isn't easy

CHICAGO (AP) — It happened after Columbine, Virginia Tech, Aurora, Colo., and now Sandy Hook: People figure there surely were signs of impending violence. But experts say predicting who will be the next mass shooter is virtually impossible — partly because as commonplace as these calamities seem, they are relatively rare crimes.

Still, a combination of risk factors in troubled kids or adults including drug use and easy access to guns can increase the likelihood of violence, experts say.

But warning signs "only become crystal clear in the aftermath, said James Alan Fox, a Northeastern University criminology professor who has studied and written about mass killings.

"They're yellow flags. They only become red flags once the blood is spilled," he said.

Whether 20-year-old Adam Lanza, who used his mother's guns to kill her and then 20 children and six adults at their Connecticut school, made any hints about his plans isn't publicly known.

Fox said that sometimes, in the days, weeks or months preceding their crimes, mass murderers voice threats, or hints, either verbally or in writing, things like "'don't come to school tomorrow,'" or "'they're going to be sorry for mistreating me.'" Some prepare by target practicing, and plan their clothing "as well as their arsenal." (Police said Lanza went to shooting ranges with his mother in the past but not in the last six months.)

Although words might indicate a grudge, they don't necessarily mean violence will follow. And, of course, most who threaten never act, Fox said.

Even so, experts say threats of violence from troubled teens and young adults should be taken seriously and parents should attempt to get them a mental health evaluation and treatment if needed.

"In general, the police are unlikely to be able to do anything unless and until a crime has been committed," said Dr. Paul Appelbaum, a Columbia University professor of psychiatry, medicine and law. "Calling the police to confront a troubled teen has often led to tragedy."

The American Academy of Child & Adolescent Psychiatry says violent behavior should not be dismissed as "just a phase they're going through."

In a guidelines for families, the academy lists several risk factors for violence, including:

—Previous violent or aggressive behavior

—Being a victim of physical or sexual abuse

—Guns in the home

—Use of drugs or alcohol

—Brain damage from a head injury

Those with several of these risk factors should be evaluated by a mental health expert if they also show certain behaviors, including intense anger, frequent temper outbursts, extreme irritability or impulsiveness, the academy says. They may be more likely than others to become violent, although that doesn't mean they're at risk for the kind of violence that happened in Newtown, Conn.

Lanza, the Connecticut shooter, was socially withdrawn and awkward, and has been said to have had Asperger's disorder, a mild form of autism that has no clear connection with violence.

Autism experts and advocacy groups have complained that Asperger's is being unfairly blamed for the shootings, and say people with the disorder are much more likely to be victims of bullying and violence by others.

According to a research review published this year in Annals of General Psychiatry, most people with Asperger's who commit violent crimes have serious, often undiagnosed mental problems. That includes bipolar disorder, depression and personality disorders. It's not publicly known if Lanza had any of these, which in severe cases can include delusions and other psychotic symptoms.

Young adulthood is when psychotic illnesses typically emerge, and Appelbaum said there are several signs that a troubled teen or young adult might be heading in that direction: isolating themselves from friends and peers, spending long periods alone in their rooms, plummeting grades if they're still in school and expressing disturbing thoughts or fears that others are trying to hurt them.

Appelbaum said the most agonizing calls he gets are from parents whose children are descending into severe mental illness but who deny they are sick and refuse to go for treatment.

And in the case of adults, forcing them into treatment is difficult and dependent on laws that vary by state.

All states have laws that allow some form of court-ordered treatment, typically in a hospital for people considered a danger to themselves or others. Connecticut is among a handful with no option for court-ordered treatment in a less restrictive community setting, said Kristina Ragosta, an attorney with the Treatment Advocacy Center, a national group that advocates better access to mental health treatment.

Lanza's medical records haven't been publicly disclosed and authorities haven't said if it is known what type of treatment his family may have sought for him. Lanza killed himself at the school.

Jennifer Hoff of Mission Viejo, Calif. has a 19-year-old bipolar son who has had hallucinations, delusions and violent behavior for years. When he was younger and threatened to harm himself, she'd call 911 and leave the door unlocked for paramedics, who'd take him to a hospital for inpatient mental care.

Now that he's an adult, she said he has refused medication, left home, and authorities have indicated he can't be forced into treatment unless he harms himself — or commits a violent crime and is imprisoned. Hoff thinks prison is where he's headed — he's in jail, charged in an unarmed bank robbery.

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Online:

American Academy of Child & Adolescent Psychiatry: http://www.aacap.org

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AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

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Norquist: Obama, Democrats Using Newtown for 'Political Purposes'

Dec 23, 2012 11:23am

(ABC News)

National Rifle Association board member and president of Americans for Tax Reform Grover Norquist said on Sunday that President Obama and Democrats are politicizing the Newtown tragedy by pushing for gun control.

“We ought to calm down and not take tragedies like this, crimes like this, and use them for political purposes,” Norquist told me on “This Week.” “President Obama has been president for four years. If he thought some gun control could solve this problem, he should have been pushing it years ago.”

“Democrats had a majority in the House and a supermajority in the House and the Senate for the first two years that they were in office. If they thought that this was really an important issue they might have done something then. They didn’t,” he added.

Read a full transcript of this week’s show HERE. 

On Wednesday, Obama announced that Vice President Joe Biden would head a task force of leaders from across the country to evaluate solutions to reduce gun violence.

Norquist endorsed the recommendation made by NRA Executive Vice President Wayne LaPierre at a press conference on Friday to place armed guards in schools across the country.

Other members of the political roundtable pushed for what they called “common sense” gun laws.

Like “This Week” on Facebook here. You can also follow the show on Twitter here.

Newark, N.J. Mayor Cory Booker, who is a member of the pro-gun control group Mayors Against Illegal Guns, said that there is more agreement than disagreement on measures to stop the mentally ill and criminals from acquiring weapons.

“I don’t think anyone has seen someone shot—I have,” Booker said. “I don’t know if anybody here has had to put their hand in somebody’s chest, and try to stop the bleeding so that person doesn’t die—I have. What frustrates me about this debate is that it is a false debate.”

“Most of us in America including gun owners agree on things that would stop the kind of carnage that is going on in cities all across America,” Booker said, adding that loopholes that allow criminals to buy guns in “secondary markets” should be closed.

Get more pure politics at ABC News.com/Politics and a lighter take on the news at OTUSNews.com.

Wall Street Journal columnist Peggy Noonan said that LaPierre’s suggestion that the effect of a violent culture on the mentally ill has contributed to increased gun violence, but she believes that Congress should pursue some gun control measures.

“I am for the banning of the extended magazines and extended clips,” Noonan said.

Editor and Publisher of The Nation Katrina vanden Heuvel said that focusing on the mentally ill is a distraction from the issue of gun violence.

“The mental illness argument has been used to evade action,” vanden Huevel said. “More guns and bullets, more dead children.”

SHOWS: This Week

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Vice president quits as Egypt votes on constitution

CAIRO (Reuters) - Egypt's vice-president resigned on Saturday as Egyptians voted in a referendum that is expected to approve a new constitution that lays the foundations for the country's transition to democracy but will strip him of his role.

Authorities extended voting by four hours in the second and decisive round of the plebiscite on an Islamist-drafted constitution that the opposition has criticized as divisive and likely to cause more unrest.

Just hours before polls closed, Vice President Mahmoud Mekky announced his resignation, saying he wanted to quit last month but stayed on to help President Mohamed Mursi tackle a crisis that blew up when the Islamist leader assumed wide powers.

Mekky, a prominent judge who said he was uncomfortable in politics, disclosed earlier he had not been informed of Mursi's power grab. However, the timing of Mekky's move appeared linked to the fact there is no vice-presidential post under the draft constitution.

In a resignation letter, Mekky said that although he had held on in the post he had "realized for some time that the nature of political work did not suit my professional background as a judge".

Islamist supporters of Mursi say the charter is vital to move towards democracy, nearly two years after an Arab Spring revolt overthrew authoritarian ruler Hosni Mubarak. It will help restore stability needed to fix a struggling economy, they say.

But the opposition says the document is divisive and has accused Mursi of pushing through a text that favors his Islamist allies while ignoring the rights of Christians, who make up about 10 percent of the population, as well as women.

"I'm voting 'no' because Egypt can't be ruled by one faction," said Karim Nahas, 35, a stockbroker, heading to a polling station in Giza, a province included in this round of voting which covers parts of greater Cairo.

At another polling station, some voters said they were more interested in ending Egypt's long period of political instability than in the Islamist aspects of the charter.

"We have to extend our hands to Mursi to help fix the country," said Hisham Kamal, an accountant.

Queues formed at some polling stations around the country and voting was extended by four hours to 11 p.m. (2100 GMT).

Unofficial tallies are likely to emerge within hours of the close, but the referendum committee may not declare an official result for the two rounds until Monday, after hearing appeals.

CHEATING ALLEGED

As polling opened on Saturday, a coalition of Egyptian rights groups reported a number of alleged irregularities.

They said some polling stations had opened late, that Islamists urging a "yes" vote had illegally campaigned at some stations, and complained of irregularities in voter registration irregularities, including the listing of one dead person.

Last week's first round of voting gave a 57 percent vote in favour of the constitution, according to unofficial figures.

Analysts expect another "yes" on Saturday because the vote covers rural and other areas seen as having more Islamist sympathizers. Islamists may also be able to count on many Egyptians who are simply exhausted by two years of upheaval.

Among the provisions of the new basic law are a limit of two four-year presidential terms. It says the principles of sharia law remain the main source of legislation but adds an article to explain this further. It also says Islamic authorities will be consulted on sharia - a source of concern to Christians and other non-Muslims.

If the constitution is passed, a parliamentary election will be held in about two months. If not, an assembly will have to be set up to draft a new one.

After the first round of voting, the opposition said alleged abuses meant the first stage of the referendum should be re-run.

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.

MORE UNREST

Even if the charter is approved, the opposition say it is a recipe for trouble since it has not received sufficiently broad backing from the population. They say the result may go in Mursi's favour but it will not be a fair vote.

"I see more unrest," said Ahmed Said, head of the liberal Free Egyptians Party and a member of the National Salvation Front, an opposition coalition formed after Mursi expanded his powers on November 22 and then pushed the constitution to a vote.

Protesters accused the president of acting like a pharaoh, and he was forced to issue a second decree two weeks ago that amended a provision putting his decisions above legal challenge.

Said cited "serious violations" on the first day of voting, and said anger against Mursi and his Islamist allies 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 on Friday in the second biggest city of Alexandria, hurling stones at each other. Two buses were torched.

The head of the Muslim Brotherhood, an Islamist group that represents Mursi's power base, said the vote was an opportunity for Egypt to move on.

"After the constitution is settled by the people, the wheels in all areas will turn, even if there are differences here and there," the Brotherhood's supreme guide, Mohamed Badie, said as he went to vote in Beni Suef, south of Cairo.

"After choosing a constitution, all Egyptians will be moving in the same direction," he said.

The vote was staggered after many judges refused to supervise the ballot, meaning there were not enough to hold the referendum on a single day nationwide.

The first round was won by a slim enough margin to buttress opposition arguments that the text was divisive. Opponents who include liberals, leftists, Christians and more moderate-minded Muslims accuse Islamists of using religion to sway voters.

Islamists, who have won successive ballots since Mubarak's overthrow, albeit by narrowing margins, dismiss charges that they are exploiting religion and say the document reflects the will of a majority in the country where most people are Muslim.

(Additional reporting by Tamim Elyan; Writing by Edmund Blair and Giles Elgood; Editing by Mark Trevelyan and Jason Webb)

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Football: Inter Milan held by Genoa, nine points behind Juve

ROME: Inter Milan fell further behind Serie A leaders Juventus on Saturday after being held 1-1 at home to struggling Genoa.

Inter, nine points behind the defending champions who beat Cagliari 3-1 on Friday, had to rely on a goal from Argentinian veteran Esteban Cambiasso five minutes from time to rescue a point.

Genoa's Ciro Immobile had given the visitors the lead in the 77th minute with an exquisite shot with the outside of his right foot.

Cambiasso headed the leveller after being set up by Italian forward Antonio Cassano.

The hosts should have stolen all three points in the final minute of normal time but for a remarkable miss by 19-year-old Croatian Marko Livaja, who missed an open goal and hit the post.

The point could ease the pressure on Genoa coach Luigi Delneri, though; they remain second from bottom and have taken just five points since he took over on October 22.

Lazio later leapfrogged Inter into second place, eight points behind Juventus, after edging Genoa's city rivals Sampdoria 1-0 with a goal by Brazilian midfielder Hernanes to take their tally to 17 points from their last 21.

Napoli got back to winning ways -- after two defeats to Bologna in four days in Serie A and then the Italian Cup -- beating bottom side Siena 2-0 with late goals from Christian Maggio, who was set up by Slovakian Marek Hamsik, in the 86th minute and Edinson Cavani who scored his 13th of the season from the penalty spot in the 90th minute.

Juventus needed two goals in stoppage time to seal a come-from-behind 3-1 win at Cagliari on Friday.

Cagliari, just a point above the relegation zone, went ahead after 16 minutes through a Mauricio Pinilla penalty awarded after Arturo Vidal had chopped down Marco Sau in the box.

In a contentious game, Cagliari played the last 30 minutes a man short after the sending off of Davide Astori, who had already been booked, for a foul on Sebastian Giovinco.

Alessandro Matri, playing against his old club, levelled for Juventus 10 minutes later and added another in the second minute of injury time.

Mirko Vucinic put away the third in the fifth minute of time added on.

"I have waited for this moment for a long time. My morale had gone down because I wasn't scoring but I always believed in myself," said Matri, who hadn't found the back of the net since September 29.

- AFP/jc

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Govt mulling over amendment to rape law

NEW DELHI: Forced on the back foot by unprecedented public fury over the savage gang rape of a 23-year-old girl in a moving bus last Sunday, the government on Saturday announced its intent to immediately amend the law to provide for death penalty in "rarest of rare" rape cases.

Simultaneously, five police personnel found responsible for lapses that led to the gang rape going undetected despite the bus passing at least three check points have been suspended and a commission of inquiry is being set up to review the crime and the police response, according to home minister Sushilkumar Shinde.

"To ensure a strong law to deal with crimes of this nature, the government will take immediate steps for the amendment of the criminal law for enhanced and more effective punishment in the rarest of the rare cases of sexual assault," Shinde told a special media briefing on Saturday after police and protestors clashed through the day.

Although Shinde did not clearly commit that "enhanced punishment" meant death penalty, the proposed "rarest of rare" clause as in the case of a death sentence for murder comes in the backdrop of a deafening chorus of demands, backed by Opposition BJP, for prescribing capital punishment for rape. The minister insisted the issue needs to be weighed legally.

The briefing came in the wake of sharp criticism that the government was "absent" in the face of public demonstrations and after Congress chief Sonia Gandhi spoke to Prime Minister Manmohan Singh and Shinde urging them to ensure a speedy investigation so that the guilty could be punished without delay.

Even if the law ministry eventually shies away from placing capital punishment within anti-rape laws, legal experts say there are other avenues to make the law more stringent. This may include making such "rarest of rare" rape crimes non-bailable on the lines of Unlawful Activities (Prevention) Act or providing for a life sentence that extends to the lifespan of the rapist.

Shinde said the commission of inquiry, to be set up under the Commission of Inquiry Act, 1951, will review the response to the gang rape and suggest measures to enhance the security and safety of women in the Capital. The act gives the inquiry a certain sanctity as the government is bound to present an action taken report.

Shinde, however, ruled out a special session of Parliament to legislate laws to punish rape as demanded by leader of Opposition in the Lok Sabha Sushma Swaraj.

A day after home secretary R K Singh lauded the police for having cracked the gang-rape case swiftly, Shinde announced the decision to suspend five police personnel. It is understood more action may follow as the complaint of a vendor robbed by the accused shortly before the crime was not taken seriously. Also, the account of the victim's male friend that they had been thrown out of a white bus failed to result in a quick response.

The measures were announced by Shinde on a day when spontaneous protests by thousands of youngsters at Rajpath took on a clear anti-Congress hue. This was evident as at least two anti-Congress slogans coined by the Arvind Kejriwal's Aam Aadmi Party - "Jiski Sonia mummy hai, woh sarkar nikammi hai" and "Sonia Gandhi soti hai, desh ki mahila roti hai" - figured prominently in the protests.

Through the day, the government came under fire from protestors and the media for its silence. The Prime Minister remained closeted in meetings, further enraging the agitating students. The lack of an assurance of decisive action by Shinde, Delhi chief minister Shiela Dikshit or senior home ministry officials ensured the protestors stayed put, blocking the access to VIP areas on Raisina Hill.

Sonia's intervention seeking quick action and stern punishment for the gang-rape accused and an increasingly militant sea of protestors forced the government not only to open a channel of communication with agitated students but also to announce decisive measures meeting their demands for enhanced maximum punishment.

Shinde, who also met some student leaders on Saturday evening, sought to assure the protestors that the government shared their outrage and is doing all possible to fast-track the trial. He said though the government respected their right of legitimate protest, the police had little option but to use force, though minimal, when the protestors started forcing themselves beyond the barricades.

"The government is with you and shared your outrage...We have heard and acknowledge your protests over what has happened and will do whatever is possible....Please rest assured and return to your homes," Shinde appealed to the protestors through the media.

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'Fiscal Cliff' Leaves Boehner a Wounded Speaker

John Boehner is a bloodied House speaker following the startling setback that his own fractious Republican troops dealt him in their "fiscal cliff" struggle against President Barack Obama.

There's plenty of internal grumbling about the Ohio Republican, especially among conservatives, and lots of buzzing about whether his leadership post is in jeopardy. But it's uncertain whether any other House Republican has the broad appeal to seize the job from Boehner or whether his embarrassing inability to pass his own bill preventing tax increases on everyone but millionaires is enough to topple him.

"No one will be challenging John Boehner as speaker," predicted John Feehery, a consultant and former aide to House GOP leaders. "No one else can right now do the job of bringing everyone together" and unifying House Republicans.

The morning after he yanked the tax-cutting bill from the House floor to prevent certain defeat, Boehner told reporters he wasn't worried about losing his job when the new Congress convenes Jan. 3.

"They weren't taking that out on me," he said Friday of rank-and-file GOP lawmakers, who despite pleading from Boehner and his lieutenants were shy of providing the 217 votes needed for passage. "They were dealing with the perception that somebody might accuse them of raising taxes."

Jacquelyn Martin/AP Photo

Cliffhanger: Congress Heads Home after 'Plan B' Vote Pulled from House Floor Watch Video

President Obama on Fiscal Cliff: 'Nobody Gets 100 Percent of What They Want' Watch Video

Next Steps for Fiscal Cliff? 'God Only Knows,' Says Boehner Watch Video

That "somebody" was a number of outside conservative groups such as the Club for Growth and Heritage Action for America, which openly pressured lawmakers to reject Boehner's bill. Such organizations often oppose GOP lawmakers they consider too moderate and have been headaches for Boehner in the past.

This time, his retreat on the tax measure was an unmistakable blow to the clout of the 22-year House veteran known for an amiable style, a willingness to make deals and a perpetual tan.

Congressional leaders amass power partly by their ability to command votes, especially in showdowns. His failure to do so Thursday stands to weaken his muscle with Obama and among House Republicans.

"It's very hard for him to negotiate now," said Sarah Binder, a George Washington University political scientist, adding that it's premature to judge if Boehner's hold on the speakership is in peril. "No one can trust him because it's very hard for him to produce votes."

She said the loss weakens his ability to summon support in the future because "you know the last time he came to you like this, others didn't step in line."

Boehner, 63, faces unvarnished hostility from some conservatives.

"We clearly can't have a speaker operate well outside" what Republicans want to do, said freshman Rep. Tim Huelskamp, R-Kan.

Huelskamp is one of four GOP lawmakers who lost prized committee assignments following previous clashes with party leaders. That punishment was an anomaly for Boehner, who is known more for friendly persuasion than arm-twisting.

He said Boehner's job would depend on whether the speaker is "willing to sit and listen to Republicans first, or march off" and negotiate with Obama.

Conservative Rep. Steve King, R-Iowa, said one of the tea party's lasting impacts would be if Boehner struggled to retain his speakership due to the fight over the fiscal cliff, which is the combination of deep tax increases and spending cuts that start in early January without a bipartisan deal to avert them.

"If there's a major defeat delivered here, it could make it tough on him," King said. "He's in a tough spot."

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Moments of silence, bells mark US school shooting

NEWTOWN: Mourners in Newtown, Connecticut, stood in silence under heavy rain while church bells rang to honour the 20 young children and six staff massacred in a school shooting a week ago.

The sombre scene at 9:30 am local time, the moment a week earlier when a deranged local man armed with semiautomatic weapons burst into the Sandy Hook Elementary School, was echoed around the country in an unofficial national day of mourning.

President Barack Obama observed the moment of silence at the White House and he tweeted: "20 beautiful children & 6 remarkable adults. Together, we will carry on & make our country worthy of their memory."

Connecticut State Governor Dannel Malloy had been the first to call on residents to stop and reflect in silence at the exact minute that 20-year-old Adam Lanza began his slaughter of the six- and seven-year-old children and their school staff.

"Let us all come together collectively to mourn the loss of far too many promising lives," Malloy said. "Though we will never know the full measure of sorrow experienced by these families, we can let them know that we stand with them during this difficult time."

Malloy asked for churches and government buildings to ring bells 26 times, symbolizing each of the victims in the school.

In Newton, bells rang as people on the street stood in a cold, driving rain.

Outside the fire station near the school, which remains closed off by police, a woman brushed tears and raindrops away from a man's face. Some stood stoically, heads bowed, while others sobbed.

Several firemen emerged from the station in full bunker gear and hugged the mourners. The rain was so hard that from the impromptu memorial, the sound of church bells couldn't even be heard, while wind and water had knocked down several Christmas trees erected to remember the dead children.

And the people of Newtown were far from alone.

Malloy's appeal was quickly matched by state governors from Hawaii to Florida, who called on residents to observe their own moment of silence in solidarity.

Houses of worship around the country also embraced the week's anniversary.

The National Council of Churches said that thousands of churches would "observe a minute of silence and at 9:30 am Friday sound their bells 26 times in memory of the victims who died in the school."

On the crowd-sourced charity site, causes.com, almost 177,000 people had signed up by early Friday to pledge a moment's silence.

The first lady, Michelle Obama, wrote to the people of Newtown that "as a mother of two young daughters, my heart aches for you and your families."

However, "the countless acts of courage, kindness and love here in Newtown and across America" had inspired her to believe the country had shown its good side in the aftermath of the massacre, she said.

- AFP/jc

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'Seven out of ten women sexually harassed'

Of these 90% don't register a police complaint because they think it's of no use, reveals TOI survey

An overwhelming majority of women (90%) who experience sexual harassment do not register a police complaint. Majority of them do not do so as they do not think it would serve any purpose revealing abysmal faith in law enforcement agencies.

This was revealed in an online survey conducted by the Times of India to gauge the kind of sexual harassment women faced following the horrific gang rape and brutalisation of a 23-year-old in Delhi on Sunday. Of the 3,840 who responded to the survey from across the country including some from abroad, almost 2,000 were women.

Almost 70% of the women said they had been subjected to lewd comments or songs from groups of men. About a quarter of them had been groped or molested by men. Stalking was reported by just 8%. Alarmingly, in over 90% of the incidents people around did not respond to help the women.

Over 70% of the men who said they had witnessed a woman being sexually harassed claimed that they had registered a complaint with the police. However, only 5% of the women said that they made a formal complaint to the police. Of the men who did not report it to the police, 40% said they stayed mum as they were "scared of the consequences". About 8% of the men did not do so because they did not think it was their business to do so.

Debunking the general belief that women do not report cases of sexual harassment because of social stigma, most of the women respondents (77%) said they did not report incidents of sexual harassment as they did not think it would serve any purpose. Their reading of the situation seems quite accurate from the fact that of those who did complain to the police, 95% were not satisfied with the police response.

Women seem to display a lot of grit as only a small proportion of the women said that they did not report sexual harassment as they were afraid of public humiliation or because they were scared of facing the perpetrators.

Quite predictably, almost all the men and women who responded (96%) thought that there was an increase in crimes against women. The top most reason for the increase, according to the survey respondents, is absence of fear of the law. Less than 20% also said that it was due to women being increasingly viewed as sex objects. Despite cops and most people in power implying often enough that women invite sexual harassment by the way they dress, barely 4% of the respondents thought that crime against women was increasing as women dressed in skimpy clothes.

The deep-seated rage that society feels at the increasing number of rapes is reflected in the overwhelming support for harsh punishments like death penalty (48%) and for chemical castration (38%). There was not much enthusiasm for life term for rapists (14%). In the same vein, almost half the respondents (46%) seem to believe that harsher punishment is the most effective step to curb crimes against women. A quarter of them also felt that better parenting with sons being taught to respect women would also be an effective curb on such incidents. Again, indicating low faith in police, there were few takers for anything to do with improving law enforcement such as better patrolling and sensitization of the police. Almost one fifth of those who responded also believed fast-track courts would help.

The survey capture's the poor image of the law enforcement agencies among the public. It also reflects the rage that people seem to feel at the rising incidence of crimes against women.

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AP IMPACT: Big Pharma cashes in on HGH abuse

A federal crackdown on illicit foreign supplies of human growth hormone has failed to stop rampant misuse, and instead has driven record sales of the drug by some of the world's biggest pharmaceutical companies, an Associated Press investigation shows.

The crackdown, which began in 2006, reduced the illegal flow of unregulated supplies from China, India and Mexico.

But since then, Big Pharma has been satisfying the steady desires of U.S. users and abusers, including many who take the drug in the false hope of delaying the effects of aging.

From 2005 to 2011, inflation-adjusted sales of HGH were up 69 percent, according to an AP analysis of pharmaceutical company data collected by the research firm IMS Health. Sales of the average prescription drug rose just 12 percent in that same period.

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EDITOR'S NOTE — Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the second of a two-part series.

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Unlike other prescription drugs, HGH may be prescribed only for specific uses. U.S. sales are limited by law to treat a rare growth defect in children and a handful of uncommon conditions like short bowel syndrome or Prader-Willi syndrome, a congenital disease that causes reduced muscle tone and a lack of hormones in sex glands.

The AP analysis, supplemented by interviews with experts, shows too many sales and too many prescriptions for the number of people known to be suffering from those ailments. At least half of last year's sales likely went to patients not legally allowed to get the drug. And U.S. pharmacies processed nearly double the expected number of prescriptions.

Peddled as an elixir of life capable of turning middle-aged bodies into lean machines, HGH — a synthesized form of the growth hormone made naturally by the human pituitary gland — winds up in the eager hands of affluent, aging users who hope to slow or even reverse the aging process.

Experts say these folks don't need the drug, and may be harmed by it. The supposed fountain-of-youth medicine can cause enlargement of breast tissue, carpal tunnel syndrome and swelling of hands and feet. Ironically, it also can contribute to aging ailments like heart disease and Type 2 diabetes.

Others in the medical establishment also are taking a fat piece of the profits — doctors who fudge prescriptions, as well as pharmacists and distributors who are content to look the other way. HGH also is sold directly without prescriptions, as new-age snake oil, to patients at anti-aging clinics that operate more like automated drug mills.

Years of raids, sports scandals and media attention haven't stopped major drugmakers from selling a whopping $1.4 billion worth of HGH in the U.S. last year. That's more than industry-wide annual gross sales for penicillin or prescription allergy medicine. Anti-aging HGH regimens vary greatly, with a yearly cost typically ranging from $6,000 to $12,000 for three to six self-injections per week.

Across the U.S., the medication is often dispensed through prescriptions based on improper diagnoses, carefully crafted to exploit wiggle room in the law restricting use of HGH, the AP found.

HGH is often promoted on the Internet with the same kind of before-and-after photos found in miracle diet ads, along with wildly hyped claims of rapid muscle growth, loss of fat, greater vigor, and other exaggerated benefits to adults far beyond their physical prime. Sales also are driven by the personal endorsement of celebrities such as actress Suzanne Somers.

Pharmacies that once risked prosecution for using unauthorized, foreign HGH — improperly labeled as raw pharmaceutical ingredients and smuggled across the border — now simply dispense name brands, often for the same banned uses. And usually with impunity.

Eight companies have been granted permission to market HGH by the U.S. Food and Drug Administration, which reviews the benefits and risks of new drug products. By contrast, three companies are approved for the diabetes drug insulin.

The No. 1 maker, Roche subsidiary Genentech, had nearly $400 million in HGH sales in the U.S. last year, up an inflation-adjusted two-thirds from 2005. Pfizer and Eli Lilly were second and third with $300 million and $220 million in sales, respectively, according to IMS Health. Pfizer now gets more revenue from its HGH brand, Genotropin, than from Zoloft, its well-known depression medicine that lost patent protection.

On their face, the numbers make no sense to the recognized hormone doctors known as endocrinologists who provide legitimate HGH treatment to a small number of patients.

Endocrinologists estimate there are fewer than 45,000 U.S. patients who might legitimately take HGH. They would be expected to use roughly 180,000 prescriptions or refills each year, given that typical patients get three months' worth of HGH at a time, according to doctors and distributors.

Yet U.S. pharmacies last year supplied almost twice that much HGH — 340,000 orders — according to AP's analysis of IMS Health data.

While doctors say more than 90 percent of legitimate patients are children with stunted growth, 40 percent of 442 U.S. side-effect cases tied to HGH over the last year involved people age 18 or older, according to an AP analysis of FDA data. The average adult's age in those cases was 53, far beyond the prime age for sports. The oldest patients were in their 80s.

Some of these medical records even give explicit hints of use to combat aging, justifying treatment with reasons like fatigue, bone thinning and "off-label," which means treatment of an unapproved condition

Even Medicare, the government health program for older Americans, allowed 22,169 HGH prescriptions in 2010, a five-year increase of 78 percent, according to data released by the Centers for Medicare and Medicaid Services in response to an AP public records request.

"There's no question: a lot gets out," said hormone specialist Dr. Mark Molitch of Northwestern University, who helped write medical standards meant to limit HGH treatment to legitimate patients.

And those figures don't include HGH sold directly by doctors without prescriptions at scores of anti-aging medical practices and clinics around the country. Those numbers could only be tallied by drug makers, who have declined to say how many patients they supply and for what conditions.

First marketed in 1985 for children with stunted growth, HGH was soon misappropriated by adults intent on exploiting its modest muscle- and bone-building qualities. Congress limited HGH distribution to the handful of rare conditions in an extraordinary 1990 law, overriding the generally unrestricted right of doctors to prescribe medicines as they see fit.

Despite the law, illicit HGH spread around the sports world in the 1990s, making deep inroads into bodybuilding, college athletics, and professional leagues from baseball to cycling. The even larger banned market among older adults has flourished more recently.

FDA regulations ban the sale of HGH as an anti-aging drug. In fact, since 1990, prescribing it for things like weight loss and strength conditioning has been punishable by 5 to 10 years in prison.

Steve Kleppe, of Scottsdale, Ariz., a restaurant entrepreneur who has taken HGH for almost 15 years to keep feeling young, said he noticed a price jump of about 25 percent after the block on imports. He now buys HGH directly from a doctor at an annual cost of about $8,000 for himself and the same amount for his wife.

Many older patients go for HGH treatment to scores of anti-aging practices and clinics heavily concentrated in retirement states like Florida, Nevada, Arizona and California.

These sites are affiliated with hundreds of doctors who are rarely endocrinologists. Instead, many tout certification by the American Board of Anti-Aging and Regenerative Medicine, though the medical establishment does not recognize the group's bona fides.

The clinics offer personalized programs of "age management" to business executives, affluent retirees, and other patients of means, sometimes coupled with the amenities of a vacation resort. The operations insist there are few, if any, side effects from HGH. Mainstream medical authorities say otherwise.

A 2007 review of 31 medical studies showed swelling in half of HGH patients, with joint pain or diabetes in more than a fifth. A French study of about 7,000 people who took HGH as children found a 30 percent higher risk of death from causes like bone tumors and stroke, stirring a health advisory from U.S. authorities.

For proof that the drug works, marketers turn to images like the memorable one of pot-bellied septuagenarian Dr. Jeffry Life, supposedly transformed into a ripped hulk of himself by his own program available at the upscale Las Vegas-based Cenegenics Elite Health. (He declined to be interviewed.)

These promoters of HGH say there is a connection between the drop-off in growth hormone levels through adulthood and the physical decline that begins in late middle age. Replace the hormone, they say, and the aging process slows.

"It's an easy ruse. People equate hormones with youth," said Dr. Tom Perls, a leading industry critic who does aging research at Boston University. "It's a marketing dream come true."

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Associated Press Writer David B. Caruso reported from New York and AP National Writer Jeff Donn reported from Plymouth, Mass. AP Writer Troy Thibodeaux provided data analysis assistance from New Orleans.

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AP's interactive on the HGH investigation: http://hosted.ap.org/interactives/2012/hgh

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The AP National Investigative Team can be reached at investigate(at)ap.org

EDITOR'S NOTE _ Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the second of a two-part series.

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Amid Protest, NRA Calls for Armed Guards in Schools

The National Rifle Association stood its ground today in arguing that the answer to gun violence in schools is an armed security force that can protect students, while blaming the media and violent entertainment and video games for recent deadly shootings.

"The only thing that can stop a bad guy with a gun is a good guy with a gun," NRA executive vice president Wayne LaPierre said in presenting the NRA's first comments about the Connecticut school shooting since it occurred a week ago today.

LaPierre offered no olive branch to gun-control advocates who have called for tougher laws in the wake of the shooting at Sandy Hook Elementary School. Instead, he called for schools across the country to recruit armed security professionals to protect their students.

"It's not just our duty to protect [our children], it's our right to protect them," LaPierre said at a news conference. "The NRA knows there are millions of qualified active and reserved police, active and reserve military, security professionals, rescue personnel, an extraordinary corps of qualified trained citizens to join with local school officials and police in devising a protection plan for every single school."

He was interrupted twice by protestors who stood in front of LaPierre's podium holding signs and shouting that the NRA "has blood on its hands" and that the NRA is "killing our kids." The protestors were eventually escorted out of the room.

LaPierre also scoffed at the notion that banning so-called assault weapons or enacting gun control laws would stop school violence. He instead cast blame for gun violence in schools on violent entertainment, including video games, and the media.

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"How many more copycats are waiting in the wings for their moment of fame from a national media machine that rewards them with a wall of attention they crave while provoking others to make their mark?" he asked.

LaPierre announced that former U.S. congressman Asa Hutchinson of Arkansas would lead the NRA's effort to advocate for school security forces. Hutchinson specified that the NRA is calling for volunteers to act as the armed guards, rather than requiring funding from local or federal authorities.

"Whether they're retired police, retired military or rescue personnel, I think there are people in every community in this country who would be happy to serve if only someone asked them and gave them the training and certifications to do so," Hutchinson said.

NRA leaders have held off on interviews this week after refusing to appear on Sunday morning public affairs shows. They said they would grant interviews beginning next week to discuss their position.

NRA News anchor Ginny Simone said Thursday that in the wake of the Sandy Hook shooting, membership surged "with an average of 8,000 new members a day."

New York City Mayor Michael Bloomberg has said the NRA is partially to blame for the tragedy.

"We're not trying to take away your right to advance the interests of gun owners, hunters, people who want to protect themselves," Bloomberg told "Nightline" anchor Cynthia McFadden in an interview Thursday. "But that's not an absolute right to encourage behavior which causes things like Connecticut. In fact, Connecticut is because of some of their actions."

The guns used in the attack were legally purchased and owned by the shooter's mother, Nancy Lanza, whom Adam Lanza shot to death before his assault on the school.

In the aftermath of the shooting, many, including Bloomberg, have called for stricter regulations on the type of weapons used in this and other instances of mass gun violence this year.

Sen. Dianne Feinstein, D-Calif., has said she intends to introduce a bill banning assault weapons on the first day of next year's Congress -- a step the president said he supports.

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