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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

A Wednesday update from President @realDonaldTrump’s physician: pic.twitter.com/IEn3Clv9yg— Kayleigh McEnany (@PressSec) October 7, 2020 144

A woman who injured three people during a shooting at YouTube headquarters in Northern California has been identified as Nasim Najafi Aghdam.Aghdam, 39, was a resident of San Diego, the San Bruno Police Department said in a statement. After shooting three people at the campus in San Bruno on Tuesday, she killed herself with a handgun, authorities said. A fourth person injured an ankle while escaping the gunfire on campus.Aghdam's brother, who didn't want to be identified, told CNN affiliate KGTV that he didn't know she had a gun. 543

After the rapid roll out in the U.K. of Pfizer and BioNtech’s COVID-19 vaccine, Britain’s Medical and Healthcare Products Regulatory Agency is warning people who have severe allergies, like those who have to carry around an adrenaline shot, to refrain from getting the vaccine for now.“Two individuals seemed to have a severe allergic reaction,” Dr. William Moss said.Dr. Moss is the executive director of International Vaccine Access Center at Johns Hopkins Bloomberg School of Public Health. He says we need to better understand what those two people had an allergic reaction to.“This isn’t kind of completely out of the blue," Dr. Moss said. "These kinds of things are rare events, but they sometimes occur, and it’s usually to some kind of component or chemical in the vaccine that the individual’s immune system is responding to in a very abnormal way, creating this very intense allergic reaction.”Even though it’s rare, Dr. Moss says it’s important to provide clarity on issues like this so people can trust the information they’re getting is reliable and true. Otherwise, there’s room for misinformation to spread. Many myths have already been circulating online about the vaccine.Myths include things like Dr. Anthony Fauci will personally profit from a COVID-19 vaccine, or government food stamps will be denied to those who refuse COVID-19 vaccines, or the mRNA vaccines being developed for COVID-19 will alter human DNA.“The MRNA vaccine, that doesn’t change our DNA in any way," Dr. Moss said. "These are not genetically altering vaccines. That Messenger RNA stays in the cytoplasm. It’s basically just a code for our bodies to make the spike protein of the SARS coronavirus-2 and then induce our immune response.”One internet resource that can help you discern which sources offer actual facts is NewsGuard. The company has a team of journalists who review and rank the credibility of sources to help people know whether or not they can trust the information is true.NewsGuard Health Editor John Gregory says each myth has a tiny grain of truth that is taken out of context and exaggerated. For example, another popular myth is that the COVID-19 vaccine will use microchip surveillance technology created by Bill Gates-funded research.“Bill Gates did fund research into what is not a microchip, but what was supposed to be a detectable tattoo that would help track vaccines in the third world where there’s not robust medical records so you could just scan something, and a doctor would be able to tell ‘ok this child got this vaccine,’" Gregory said. "It’s not a tracking device because you can’t track it unless you’re in direct contact with the person, and it also had nothing to do with the pandemic.”Dr. Moss says the microchip myth sounds like a sci-fi movie."These are vaccines," Dr. Moss said. "These are biological products that are designed to produce an immune response against the SARS-Coronavirus-2 so that individuals who are exposed to the virus either don’t get infected – that would be ideal – or at least are protected from developing severe disease, hospitalization and death.”Living in a society where we’re constantly bombarded with new information right at our fingertips, how are we supposed to know who we can trust?“The best thing people can do is know more about the sources of information that they are absorbing about the vaccine," Gegory said. "What their history and what their agenda may be when it comes to previous disease outbreaks and previous vaccines.”Dr. Moss says even though it’s been done in a quick manner, it’s critical people understand these vaccines have gone through a rigorous scientific process to be approved.“Vaccines are going to be key, a key tool in our toolbox to getting out of this pandemic.” 3771

ALPINE, Calif. (KGTV) -- The owner of a popular iron horse statue in Alpine believes a lot of planning went into stealing it. Rita Gallant says the iron horse was taken in the middle of the night. The statue stood 14-feet tall and weighed approximately 300 pounds. Gallant says she didn’t notice it was gone until days later, so she checked her surveillance tapes. “We believe they came in over the course of a couple of days. They had to remove some very large rebar wire that was in it that’s right here. So we had four of these that were in it to secure it to the ground,” Gallant said. Gallant says she bought the statue 15 years ago and set it up at her store, Double S Tack and Feed. Since then, the statue had become something of an icon in the neighborhood. 774