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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

Alabama Republican Senate candidate Roy Moore reiterated his denials Saturday against allegations of sexual misconduct.Moore, who was speaking at a Veterans Day event at the Mid-Alabama Republican Club in Birmingham, called the allegations surfaced in a Washington Post report "yet another attack on my character and reputation in a desperate attempt to stop my political campaign for the United States Senate.""My opponent is 11 points behind ... This article is a prime example of fake news. An attempt to divert attention from the true issues that effect the country like health care, military readiness, tax reform or national debt," Moore said. 657

All overseas travelers, except mainland China, will have to quarantine in a hotel for 14 days upon arriving in Hong Kong, the government announced as COVID-19 cases continue to surge.The new changes will go into effect Nov. 3 and remain until further notice, government officials said in its coronavirus tab on its website.The government said anyone who has stayed in high-risk countries Bangladesh, Ethiopia, France, India, Indonesia, Kazakhstan, Nepal, Pakistan, the Philippines, Russia, South Africa, the United Kingdom, and the United States of America must provide the following documents upon arrival:A negative COVID-19 test result, in English or Chinese, was issued by a laboratory or healthcare institution 72 hours before landing in Hong Kong. Lab results must bear the traveler's identical name listed on their valid travel documents.Suppose the report isn't in English or Chinese. In that case, passengers must show a written confirmation in English or Chinese issued by the laboratory or healthcare institution with the same name as on travel documents. Must also present negative COVID-19 test results.Must prove in English or Chinese that laboratory or healthcare institution is ISO 15189 accreditedMust show you have reserved a hotel room in Hong Kong for no less than 14 days beginning the first day of arrival in Hong Kong.Failure to comply with said new guidelines will result in a ,000 fine or six months imprisonment, the government said.On Tuesday, Hong Kong's Centre for Health Protection reported nine new COVID-19 cases, bringing its total to 5,345. 1585

A woman led Sheboygan County Sheriff's deputies through three counties at speeds of more than a 100 mph after she stole candy and lighters. According to the criminal complaint, Nicole Rupert, 34, was pulled over in Sheboygan after being spotted in a Walmart taking some items. She pulled over on the highway at first, but when deputies asked her to move the car farther away from traffic, she took off.Deputies chased her, at one point reaching speeds of 115 mph. She maneuvered around cars on the highway even hit stop spikes near Oostburg. Deputies said her tires blew but she just kept driving.The chase was eventually called off but deputies were told to continue to follow her as she slowed down. Rupert eventually made it to downtown Milwaukee where her car came to a stop.Rupert has been charged with retail theft, fleeing and drug charges. Deputies also found an illegal prescription, pot and mushrooms in her car. She is due in court April 4 at 1:30 p.m.  992

ALAMEDA, Calif. (AP) — The Oakland Raiders have had talks with the San Francisco Giants about playing home games at AT&T Park next season.The Giants issued a statement Friday confirming the Raiders have expressed "initial interest" in playing in San Francisco in 2019.The Raiders are moving to Las Vegas in 2020 but have no lease for next year. They had been in talks about renewing in Oakland before city officials sued the team over its planned move. The Raiders didn't comment on the talks with the Giants.RELATED: Oakland files lawsuit against Raiders, NFL over 'illegal move' to Las VegasThe Giants said many details needed to be worked out before a deal could be finalized. California played college football games at AT&T Park in 2011 when Memorial Stadium was being renovated.The Raiders played their first four games in San Francisco in 1960 at Kezar Stadium.Rumors have swirled since the possibility of the team not playing in Oakland next year arose. San Diego, with SDCCU Stadium now dormant after the Los Angeles Chargers relocated, has continually been floated as an option, namely by sports reporters and fans.NFL Network's Andrew Siciliano asked Raiders General Manager Mark Davis about the possibility of the team playing in San Diego, to which he replied, "not ruling out anything."Where will the Raiders play in 2019?Mark Davis: "All options are open."Reporter: "Not ruling out San Diego?"Mark Davis: "No. Not ruling anything out."— Andrew Siciliano (@AndrewSiciliano) December 12, 2018 1521

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