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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

Actress Naya Rivera was reportedly laid to rest last week after tragically passing away after drowning in early July while visiting Lake Piru in California.Rivera's death certificate, which was obtained by People and The Blast, said that the former "Glee" star died within a "manner of minutes," People reported. The death certificate also noted that her death was not contributed to any other significant factors.After her body was recovered on July 13, the Ventura County Medical Examiner’s Office conducted an autopsy, which revealed that Rivera accidentally drowned during a boat trip with her 4-year-old son.CNN reported that Naya was laid to rest on July 24 at Forest Lawn Memorial Park in Los Angeles.Deadline said that Naya's last TV appearance will be in season 3 of Netflix's baking competition show "Sugar Rush," which would be released Friday. 863

Actor Bill Murray is mourning the passing of his older brother Ed. Murray's golf apparel company, William Murray Golf, confirmed Ed's death on Tuesday in a brief Facebook post.According to the golf apparel's website, Ed Murray was the eldest Murray brother.On Monday, Ed's younger brother Joel tweeted in remembrance of his brother, who was "the nice Murray who remembered everyone's name." 398

Although a school resource officer did fire at the teen who'd shot two fellow students at a Maryland high school last week, the shooter died of a bullet from his own gun, authorities say.Austin Wyatt Rollins -- a 17-year-old who killed one student and injured another -- shot himself in the head in a hallway at Great Mills High School on the morning of March 20, right as school resource officer Blaine Gaskill fired his gun at him, the St. Mary's County Sheriff's Office said.The officer's shot struck Rollins' gun, which was in the teen's hand, the sheriff's office said. 582

A woman claims she suffered a small cut on her finger from the nail salon she's been going to for more than a decade. Two weeks later, she found herself in the hospital having surgery due to a major infection, and there's a chance she may have to have her finger amputated. The image of Maria Luisa Gerardo's finger is extremely graphic — a wound that goes all the way down to the bone. "I cover my face when they come in here and take (the bandage) off because I don't wanna see it," said Gerardo. "I don't. I'm scared."Gerardo made her regular visit to TJ Nails, a place she's been going to for more than a decade, where they call her "Mama." But two weeks ago she claims she received a small cut on her finger. "A little open wound, here on the side of my finger," said Gerardo.A day later, her finger started swelling. Gerardo went to Urgent Care, where they put her on antibiotics.She went back to the nail salon, and she says they offered her 0."He told me, 'It's nothing. Just clean your hand and buy your medicine, and it will come off," said Gerardo. But it only got worse, and Gerardo had to go into surgery."Pretty excruciating to see," said Gerardo's son Victor. "I don't like to see my mom in pain."Victor was by his mom's side during the surgery and days following. "He cleaned as much as he could, to try and salvage the finger," said Victor. "He told me, he kept cutting and cutting the tissue around her finger until it bled, because that was good skin."Gerardo says a man named Bill was the technician who cut her nails that day. Employees at TJ Nails claim he no longer works at the salon and recently moved out of state.Bill said in a phone interview that he never cut Gerardo's nails and he knew her very well and did nothing wrong. Meantime, Gerardo is looking for answers and waiting to see if she will be able to keep her finger. "This is the only thing I ever liked doing to myself, my nails," said Gerardo. "But now, with this that happened to my hand, I never want to do this in my life."The family reported TJ Nails to the state. They are planning on working with a lawyer to take legal action against the salon.  2212