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According to President Donald Trump, the tragic Texas church shooting that left 26 people dead was "a mental health problem at the highest level."If you ask mental health researchers, such mass shootings are much more complicated than that.On Sunday, 26-year-old Devin Kelley sprayed bullets across the sanctuary of First Baptist Church in Sutherland Springs, Texas, about 30 miles east of San Antonio. The youngest killed at the church was 17 months old; the oldest was 77 years old."We have a lot of mental health problems in our country, as do other countries, but this isn't a guns situation," Trump said during a joint news conference Monday in Tokyo."This is a mental health problem at the highest level," he said. "It's a very, very sad event."Trump's response to the Texas church shooting echoed previous comments he has made on gun violence. In 2015, Trump said he was opposed to tightening gun laws in the United States but was in favor of addressing mental health to prevent shootings.Yet various epidemiological studies over the past two decades show that the vast majority of people with severe mental illnesses, such as schizophrenia, bipolar disorder or severe depression, are no more likely to be violent than anyone else.Rather, people with severe mental illnesses are more than 10 times more likely to be victims of violent crime than the general population. And, only about 3% to 5% of violent acts can be attributed to individuals living with a serious mental illness, according to the US Department of Health and Human Services.But those statistics have "almost nothing to do with mass casualty shootings," said Jeffrey Swanson, a professor in psychiatry and behavioral sciences at Duke University who specializes in gun violence and mental illness.So exactly how are mental health and gun violence intertwined, and what is needed to end the violence?Gun violence and mental illness are public health problems "that intersect at the edges" but have very little overlap, Swanson told CNN last year.There's no doubt that America's systems of care for mental health are overburdened, expensive and inaccessible for many who need them, he said. But when it comes to gun violence among this community, suicide tends to occur at higher rates than homicides, he said."If we back up and think about firearm-related injuries and mortality as a public health problem, it turns out there is a mental health-related story, and it's suicide," he said. "If we had better mental health care and could get people better access and break down barriers to care, then yes, we might reduce gun violence by a lot but it would be from reducing suicides."Otherwise, mental illness is just one "highly unspecific" factor that may contribute to gun violence, along with being young, white and male, or a history of violence, Swanson said.Instead of policies that restrict gun access based solely on mental illness diagnoses or because a person has made contact with the judicial system or health care agencies due to mental illness, the American Psychological Association, the National Alliance on Mental Illness and other advocacy groups have called for gun access criteria based on more subtle indicators of potentially dangerous behavior.Those indicators -- such as having past or pending violent misdemeanor convictions or charges, domestic violence restraining orders or multiple DUI convictions -- have been largely informed by the work of Swanson and others.Swanson supports intervention at the point of purchase through comprehensive background checks -- but to make background checks work, criteria for inclusion on the database should be based on other indicators of risk besides mental health history, such as those indicators of aggressive, impulsive or risky behavior."A history of violent behavior is a far better predictor of future violence than mental illness," he said.Calling gun violence a mental health issue is to scapegoat and stigmatize people with mental illness, he said."It's kind of a canard, a convenient explanation that exploits the tremendous fear people have with these horrifying mass shootings," he said. "If people fear those with mental illness they're going to treat them with scorn and support public policies that restrict their liberties."After all, mental illness affects millions of adults across the country.In 2015, there were an estimated 43.4 million adults in the United States with some form of mental illness within the past year, which represented 17.9% of adults nationwide, according to the National Institute of Mental Health.The American Psychological Association recommends prohibiting firearms for high-risk groups, such as domestic violence offenders or persons convicted of violent misdemeanor crimes."Reducing the incidence of gun violence will require interventions through multiple systems, including legal, public health, public safety, community, and health. Increasing the availability of data and funding will help inform and evaluate policies designed to reduce gun violence," according to the association's website.Swanson and his colleagues examined the proportion of people in the United States with impulsive angry behavior who own or carry guns and have a diagnosable mental illness in a paper published in the journal Behavioral Sciences & the Law in 2015.They conducted household surveys with 9,282 people from February 2001 to April 2003, excluding people who carried guns for work, resulting in a response rate of 70.9%.An analysis of the survey results estimated that nearly one in 10 adults has access to firearms and has a problem with anger and impulsive aggressive behavior.These people were more likely to be male, younger and married and to live in outlying areas around metropolitan centers rather than in central cities, Swanson and his colleagues wrote in their paper.They were significantly more likely to meet diagnostic criteria for a wide range of mental disorders, including depression, bipolar and anxiety disorders, PTSD, intermittent explosive disorder, pathological gambling, eating disorder, alcohol and illicit drug use disorders, and a range of personality disorders.What's more, despite evidence of "considerable psychopathology" in many of these respondents, only a very small proportion, 8% to 10%, were ever hospitalized for a mental health problem."Because only a small proportion of persons with this risky combination have ever been involuntarily hospitalized for a mental health problem, most will not be subject to existing mental health-related legal restrictions on firearms resulting from a history of involuntary commitment," Swanson and his colleagues wrote in the paper's abstract.As for Texas gunman Kelley, the state denied him a license to carry a gun, Gov. Greg Abbott said, citing the director of Texas' Department of Public Safety."So how was it that he was able to get a gun? By all the facts that we seem to know, he was not supposed to have access to a gun," Abbott told CNN's Chris Cuomo. "So how did this happen?"On Monday, Trump said his "thoughts and prayers" were with the victims and their families but did not suggest plans to take any legislative or other policy action to address the shooting. 7228

ALBUQUERQUE, N.M. (AP) — If there's one constant about San Diego State this season, it's going to be a close game. And coach Rocky Long is ok with that.The Aztecs committed three big turnovers, had nine costly penalties and had to come back from a nine-point, fourth-quarter deficit to beat New Mexico 31-23 on Saturday."What we do is we keep hanging in there, we keep fighting and we keep playing," he said. "And all but twice we've won. I think we're 7-2 right now and that's as good as a whole bunch of teams and better than a whole bunch of teams in the country. So that's who we are and we're going to live with it."RELATED: Aztecs cruise to 6-2 victory over TrojansSan Diego State (7-2, 4-1 Mountain West) had played six straight games that were decided by seven points or less, and this one was close as well until Juwan Washington broke off a 50-yard touchdown run with 55 seconds left."That's who we are," Long said. "We've done it so many times now. We're not going to change out personality. You can't change a team's personality. We don't want to get penalties. We don't want to turn the ball over. I've got to live with it and it will probably cost us another game. Maybe not. Maybe not. I'm resolved to the fact so I'm not fighting it anymore."Despite the late hole, Long said he wasn't really concerned."I didn't feel comfortable, but I didn't think we were going to lose if that's your question," he said. "I felt like we were going to win. I felt like we were going to win the whole time. I was just waiting for the play to make it happen. "There was no one play, but the Aztecs scored the game's final 17 points to take the victory."Obviously when we you don't play very well and you win the game, you feel very fortunate," Long said. "But, guess what that's who we are. We're not going to change it. That's the way our whole season has been and that's who we are. So we'll just have to keep playing that way and see if we can pull it out at the end.'Washington had 95 yards rushing and two touchdowns on 11 carries and quarterback Christian Chapman rallied the Aztecs late in the victory, while a John Baron II field goal put San Diego State ahead for good at 24-23 with 2:56 to play.The trailed 23-14 after the Lobos (3-6, 1-4) only sustained touchdown drive of the game with 10 minutes remaining.But Chapman rallied his squad with a 75-yard scoring drive."In those situations, you don't want to get flustered," Chapman said. "As a quarterback you don't want to make stupid decisions."After the San Diego State defense held New Mexico on the next possession, Garrett Binkley returned the punt 35 yards to the Lobos 41.New Mexico was then called for its first penalty, roughing the passer, with 5:25 left, pushing the Aztecs to the Lobos 30. Three plays later, Baron hit the go-ahead 32-yard field goal.Following a San Diego State interception, Washington went 50 yards for a touchdown to seal it."I think we've been doing it all season," Chapman said. "It's been a fight. Every game has been a fight. They're always close. That's the theme for this team this year. We're fighters and we're going to grind to the end. That's how are games are going to be this season."The Lobos finished the first half with two complete passes, both of which went for negative yards. They didn't get into the positive yardage column until late in the third quarter and finished with 41 yards passing.New Mexico's 10 first-half points, however, were the direct result of two fumble recoveries by Adebayo Soremekun, including one that he returned 44 yards for a touchdown. The Lobos also had a short field in the third quarter thanks to a third fumble recovery, leading to another touchdown."I thought our defense, as beat up as we are, played pretty physical," New Mexico coach Bob Davie said. 3807

Air Line Pilots Association (ALPA) announced that they agreed with United Airlines not to furlough any of its pilots.In a press statement, the ALPA said the agreement keeps all 13,000 pilots employed and cancels the 2,850 previously announced layoffs.The planned layoffs were to take place Thursday when the CARES Act pandemic payroll support expired, USA reported.The Cares Act provided a billion bailout to keep US airlines afloat during the COVID-19 pandemic.Lawmakers are looking to extend the program by introducing a new bill to protect workers' jobs until March 31.Sen. Roger Wicker (R-Miss.) and Sen. Susan Collins (R-Maine) introduced the Air Carrier Worker Support Extension Act of 2020 last week."The CARES Act successfully saved thousands of jobs that support the airline industry and provided these businesses with some breathing space after the drastic drop in air travel caused by the COVID-19 pandemic," said Wicker in a press release. "However, the market has not turned around as much as we had hoped, and additional relief is needed to prevent more than 60,000 aviation sector employees from losing their jobs beginning October 1. This legislation would extend the critical Payroll Support Program to provide support for passenger air carriers, cargo air carriers, and aviation contractors. It would also preserve our nationwide service by requiring airlines to maintain routes as a condition for receiving assistance. Maintaining a strong national air transportation system is critical for today's economy and the continued recovery."The ALPA says the deal also offers pilots over the age of 50 with 10 years of experience second round of first separation options. It would also reduce or terminate the effect of temporary work reductions based on a recovery in passenger demand or other market factors, the ALPA said. 1850

America has spoken and democracy has won. Now we have a President-Elect and Vice President-Elect who will serve all of us and bring us all together. Congratulations to Joe Biden and Kamala Harris on your momentous victory!— Bill Clinton (@BillClinton) November 7, 2020 276

ALPINE, Calif. (KGTV) - San Diego County Sheriff's deputies arrested a woman whose home caught fire in Alpine Monday morning. The flames started in a granny flat at the home at 3679 E. Victoria Drive, firefighters reported. At the time, winds were about 30 miles an hour with low humidity.Sheryl Ruiz, 36, was inside the granny flat and escaped without injury.Deputies said a search of the home led to the discovery of illegal drugs and a firearm, and arrested Ruiz.Lakeside and Viejas Fire crews are investigating the cause of the fire.  566