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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

ALPINE, Calif (KGTV) - An East County woman is recounting the "breathless" moment after she looked in her truck engine and saw a very large rattlesnake.In the backyard of a home along Foss Road sits a 1978 Chevy half-ton truck, Jules Piatek's first-ever vehicle. "I love my truck. I tell my kids if I die, just bury me in my truck," said Piatek.RELATED: 6-foot-long rattlesnake found in Santee after nearly attacking dogShe's not alone when it comes to loving the truck.  Last week, just past 10 a.m., she stood in her yard and saw it."Glanced to my left and just caught a glimpse of the snake in my engine," said Piatek.When Piatek took a closer look, she saw it's head and then the rest of it, coiled up near the starter."Oh, hell no! I don't want that snake anywhere near me. He was way too big and way too fat," said Piatek.RELATED: What to do in the event of a rattlesnake bitePiatek backed away slowly."When you see it, you really start to panic. Holy crap, what is it going to do?" said Piatek.What Piatek did manage to do was take a few photos, before calling up professional snake wrangler Tom Minga. He arrived and used snake tongs to remove it from the engine."It was shady, just in there just hanging out," said Minga.Minga says it was a Southern Pacific, the most common local rattlesnake and about 4-feet long. It's hardly the first oversized rattler of the season. Minga just caught another one a few homes down.A few days ago, 10News reported on the discovery of a 6-foot-long Red Diamond rattler that surprised a woman and her little dog in a Santee backyard.Minga says the giant sizes mean despite the lack of rain this winter, food remains aplenty and the snakes should continue to be an active snake season. He added that he will relocate the rattlesnake somewhere in the backcountry. 1837

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

A woman in Tallahassee, Florida is accused of drawing a gun on another shopper at a Publix grocery store last Sunday after the victim cut in line, the Tallahassee Democrat reported. According to a report of the incident by the Leon County Sheriff's Office obtained by the Tallahassee Democrat, Jessica Mock, 36, was about to check out at the Publix, but had forgotten an item. She left her cart in line to retrieve the item. When she returned, another customer had gotten in line in front of her. After Mock and the other female customer argued, the other woman got in another line. According to the report, the customer told Mock, "I'll meet you outside." Mock responded, "I'll see you outside."Once outside, Mock is accused of pulling a gun out of her waistband on the shopper. Later, the victim drove away and called law enforcement while Mock allegedly followed the woman. That is when police caught up to Mock. Mock denied pulling a gun or intentionally following the woman, but law enforcement did find a firearm. Mock was charged with aggravated assault with a deadly weapon without intent to kill, according to the report given to the Tallahassee Democrat.  1233

After losing a child to a drug overdose, one mother prepares to save others through a program to teach people how to handle the anti-overdose drug Narcan."Maybe I'll be at the right place at the right time for somebody else," Pat Jorgensen said.Pat's daughter, Tiffany, died five years ago at the age of 29. She's left raising Tiffany's daughter."Not a day goes by that I don't think of her and miss her," Pat said. "When someone gets engrossed in a drug addiction, it's really hard coming out of it. It's the hardest thing to get off of. As her mother, I will always feel like what did I do? Maybe I did something wrong? It's been a very hard road. The whole family has been through a lot. It's not something you just get over."Pat and her son were among dozens who showed up to receive free Narcan, and training on how to use it to potentially save a life.The training session was held at the Water Tower in Milwaukee's Bay View neighborhood Wednesday night. In this case, the Aids Resource Center of Wisconsin (ARCW) has a Prevention Department that provided the free Narcan and training. The organization often gets requests from community and church group to host training sessions at no cost.Everyone who attended the meeting went home with three syringes and three vials of Narcan, as well as reminders on how to properly use it. 1349

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