Through new budget, Brown maps out sweeping change in state









SACRAMENTO — The days of catastrophic deficits behind him, Gov. Jerry Brown is set to propose a state budget Thursday that would shift the Capitol's focus from fiscal triage to sweeping policy changes in education, criminal justice and healthcare.


Brown is expected to use his spending plan to shake up California's public university systems, according to administration officials. The governor has long complained that they are bloated and inefficient, and he wants to attach strings to some of their funding.


He has also signaled that the state's court and prison budgets could be cut, including a shift of 16,000 inmates to cheaper, lower-security housing.





The governor wants to change how the state funds its nearly 10,000 public schools, and he will present his plan for implementing President Obama's healthcare overhaul.


Although he is largely free of the financial crisis that has long gripped state government, Brown has made clear that many of his proposals would reshape the way California spends the money it has rather than create costly new programs. The revenue from tax hikes passed by voters in November is spoken for, and Brown said this week that he would be dogged about keeping spending in check.


"If we don't do that," he said, "then we have an illusion that things are good and we go back to this money-today, no-money tomorrow."


Legislative leaders, emboldened by their new Democratic supermajorities in the Senate and Assembly, are likely to test his resolve. They have already suggested they'll push to restore many government services that were rolled back in recent years.


The tussle among the governor, lawmakers and lobbyists representing interests with a stake in the roughly $95-billion general fund typically lasts for months. Lawmakers have until June to pass a final budget.


Meanwhile, remnants of red ink remain. Legislative analysts say Brown will need to close a deficit of $1.9 billion. The governor has signaled that cuts in the state court and prison budgets could help cover that shortfall.


Court officials said they've been told to expect a $200-million cut. The court system's administrative director, Judge Steven Jahr, called that scenario a "potential crisis that would further cripple our justice system." Other officials warned of potential courthouse closures and reduced hours.


The governor also wants to end federal control of the healthcare system in state prisons. If he succeeds, Sacramento could save hundreds of millions of dollars by ending contracts with out-of-state prisons used to alleviate overcrowding. He would also retake control of prison medical spending, which is now determined by a federal overseer.


"We're wasting a lot of money on nonsense" in the prisons, Brown told reporters Tuesday.


Even in areas where spending will increase under state formulas and federal law — public schools, universities and healthcare — Brown will face obstacles in determining how the money is spent.


The University of California and California State University systems were each promised at least $125 million more this year. Brown wants to tie some future funding to graduation rates and acceptance of transfer students from the state's community colleges.


Brown also wants the universities to more aggressively embrace online teaching, which he says could reduce the need for higher student fees.


University officials, who have bristled at many of those suggestions, are already saying the promised money is not enough. The University of California has said tuition hikes are likely unless state funding is increased by more than $400 million, a number the governor has said is unrealistic. He has not yet provided his own figure.


The governor will also propose a radical shift in the way elementary and secondary schools are funded, seeking to direct more money to districts that serve poor students and English learners, who cost more to educate than other students.


Brown wants to give local districts more control over the money they receive from the state, eliminating mandates for smaller classes, spending on new technology and dozens of other requirements set in Sacramento.


Education and legislative leaders have expressed support for the governor's goals — and skepticism about the administration's ability to ensure that money will be used in the way he intends.


Brown's proposed budget will outline his plans for expanding health coverage under the new federal healthcare law, which is set to require increased coverage beginning in January 2014. The law will put hundreds of thousands of new enrollees into California's public insurance program, but the governor has raised concerns about what that will cost.


In addition, Brown has said the state may reduce the roughly $2 billion it gives to counties to care for the uninsured, amid objections from advocates and county officials.


"There needs to be a safety net that survives even after health reform is fully implemented," said Anthony Wright, executive director of Health Access California, which promotes expanded health coverage.


This year, Brown has a new $1 billion to spend, generated by a change in corporate taxes that voters approved as Proposition 39 in November. Half of the money is dedicated to clean-energy programs, and Brown is expected to use most of that for a proposal to increase energy efficiency at thousands of public schools. The rest goes to the general fund.


While his plans will be subject to negotiations with lawmakers, Brown made it clear he feels his hand is strengthened by his recent victories at the polls.


"My position," he said, "has become more strategically important."


anthony.york@latimes.com


chris.megerian@latimes.com





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Video: Watch the Entire <em>Dark Knight</em> Movie Trilogy in Three Minutes











Director Christopher Nolan’s Batman trilogy, which concluded last summer with The Dark Knight Rises, is probably one of the most well-executed comic book hero franchises in recent memory. So good, in fact, that every now and then it’s nice just to have a little taste – even when there isn’t time to watch all three flicks back to back.


Luckily, the folks at Screen Rant have done us all a solid and crammed all of the best moments from the three films into one three-minute clip (above) for those who need a Bat-fix, even when there isn’t a lot of Bat-time. Three movies. Three minutes. One great way to bask in the world of Bruce Wayne.


“To do justice to this almost seven-hour-long trilogy in only three minutes, we chose to focus on the story of Gotham City – especially since many viewers consider Gotham to be the ‘true’ main character in Nolan’s films,” the video’s editor wrote on the site. “It’s [sic] fall from glory spawned a man determined to help restore it and, in the end, he does just that, but not without some bumps along the way. If you can call Ra’s and Talia al Ghul, the Scarecrow, the Joker, Two-Face, Bane and Catwoman just ‘bumps.’”


Check out the (obviously spoiler-riffic) clip above. Think they missed anything?


[via Vulture]






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“Homeland,” “Girls” win Directors Guild TV nominations






LOS ANGELES (Reuters) – The directors of hit television dramas “Homeland” and “Mad Men” were among those nominated for Directors Guild of America (DGA) awards on Wednesday.


They were joined by Lena Dunham for her coming-of-age HBO series “Girls” and actor Bryan Cranston for ABC’s “Modern Family” in the comedy category.






AMC’s “Breaking Bad” director Rian Johnson and Greg Mottola, director of HBO’s “The Newsroom,” rounded out the drama category, in which network television series were shut out.


Showtime’s terrorist-hunting thriller “Homeland” scored nominations for two separate episodes – one directed by Michael Cuesta and another by Lesli Linka Glatter.


Jennifer Getzinger garnered a nomination for boozy workplace period drama “Mad Men” on AMC.


The DGA honors the directors of individual episodes of TV shows, unlike the Emmy and Golden Globe awards that honor series as a whole.


Cranston, star of “Breaking Bad,” received his first DGA award nomination. Mark Cendrowski drew honors for geeky CBS comedy “The Big Bang Theory” and comedian Louis C.K. for his FX show “Louie.”


Beth McCarthy-Miller, a two-time DGA winner for her television work, was nominated for Tina Fey’s NBC comedy “30 Rock,” which will finish up its seven-season run on January 31.


Previous DGA winner Jay Roach will compete again in the television movies and mini-series category for the HBO film “Game Change,” a behind-the-scenes drama about John McCain’s and Sarah Palin’s 2008 run for the White House.


The annual DGA Awards, to be hosted by actor Kelsey Grammer in Hollywood on February 2, will also hand out trophies to the directors of movies, children’s TV, commercials, reality shows and documentaries.


AMC is owned by AMC Networks, CBS and Showtime are divisions of CBS Corp, HBO is part of Time Warner Inc, NBC is owned by Comcast Corp, ABC is part of Walt Disney Co and FX is a division of News Corp.


(Reporting by Eric Kelsey, editing by Jill Serjeant and Xavier Briand)


TV News Headlines – Yahoo! News





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Pap Test May Prove Useful at Detecting More Types of Cancer, Study Suggests





The Pap test, which has prevented countless deaths from cervical cancer, may eventually help to detect cancers of the uterus and ovaries as well, a new study suggests.




For the first time, researchers have found genetic material from uterine or ovarian cancers in Pap smears, meaning that it may become possible to detect three diseases with just one routine test.


But the research is early, years away from being used in medical practice, and there are caveats. The women studied were already known to have cancer, and while the Pap test found 100 percent of the uterine cancers, it detected only 41 percent of the ovarian cancers. And the approach has not yet been tried in women who appear healthy, to determine whether it can find early signs of uterine or ovarian cancer.


On the other hand, even a 41 percent detection rate would be better than the status quo in ovarian cancer, particularly if the detection extends to early stages. The disease is usually advanced by the time it is found, and survival rates are poor. About 22,280 new cases were expected in the United States in 2012, and 15,500 deaths. Improved tests are urgently needed.


Uterine cancer has a better prognosis, but still kills around 8,000 women a year in the United States.


These innovative applications of the Pap test are part of a new era in which advances in genetics are being applied to the detection of a wide variety of cancers or precancerous conditions. Scientists are learning to find minute bits of mutant DNA in tissue samples or bodily fluids that may signal the presence of hidden or incipient cancers.


Ideally, the new techniques would find the abnormalities early enough to cure the disease or even prevent it entirely. But it is too soon to tell.


“Is this the harbinger of things to come? I would answer yes,” said Dr. Bert Vogelstein, director of the Ludwig Center for Cancer Genetics and Therapeutics at Johns Hopkins University, and a senior author of a report on the Pap test study published on Wednesday in the journal Science Translational Medicine. He said the genomes of more than 50 types of tumors had been sequenced, and researchers were trying to take advantage of the information.


Similar studies are under way or are being considered to look for mutant DNA in blood, stool, urine and sputum, both to detect cancer and also to monitor the response to treatment in people known to have the disease.


But researchers warn that such tests, used for screening, can be a double-edged sword if they give false positive results that send patients down a rabbit hole of invasive tests and needless treatments. Even a test that finds only real cancers may be unable to tell aggressive, dangerous ones apart from indolent ones that might never do any harm, leaving patients to decide whether to watch and wait or to go through surgery, chemotherapy and radiation with all the associated risks and side effects.


“Will they start recovering mutations that are not cancer-related?” asked Dr. Christopher P. Crum, a professor at Harvard Medical School who was not involved in the research.


But he also called the study a “great proof of principle,” and said, “Any whisper of hope to women who suffer from endometrial or ovarian cancer would be most welcome.”


DNA testing is already performed on samples from Pap tests, to look for the human papillomavirus, or HPV, which causes cervical cancer. Dr. Vogelstein and his team decided to try DNA testing for cancer. They theorized that cells or DNA shed from cancers of the ovaries and the uterine lining, or endometrium, might reach the cervix and turn up in Pap smears.


The team picked common mutations found in these cancers, and looked for them in tumor samples from 24 women with endometrial cancer and 22 with ovarian cancer. All the cancers had one or more of the common mutations.


Then, the researchers performed Pap tests on the same women, and looked for the same DNA mutations in the Pap specimens. They found the mutations in 100 percent of the women with endometrial cancer, but in only 9 of the 22 with ovarian cancer. The test identified two of the four ovarian cancers that had been diagnosed at an early stage.


Finally, the team developed a test that would look simultaneously for cancer-associated mutations in 12 different genes in Pap samples. Used in a control sample of 14 healthy women, the test found no mutations — meaning no false-positive results.


Dr. Luis A. Diaz, the other senior author of the report and an associate professor of oncology at Johns Hopkins, called the research a step toward a screening test that at first blush appears very effective at detecting endometrial cancer, though obviously less so at finding ovarian cancer.


“Probably one of the most exciting features of this approach,” Dr. Diaz said, “is that we wanted a test that would seamlessly integrate with routine medical practice that could be utilized with the same test that women get every day all over the world, the Pap smear.”


But, he added: “We can’t say it’s ready for prime time. Like all good science, it needs to be validated.”


He and other members of the team said it might be possible to improve the detection rate for ovarian cancer by looking for more mutations and by changing the technique of performing Pap tests to increase the likelihood of capturing cells from the ovary. The change might involve timing the test to a certain point in a woman’s monthly cycle, using a longer brush to collect cells from deeper within the cervix or prescribing a drug that would raise the odds of cells being shed from the ovary.


The technique also needs to be tested in much larger groups of women, including healthy ones, to find out whether it works, particularly at finding cancers early enough to improve survival. And studies must also find out whether it generates false positive results, or identifies cancers that might not actually need to be treated.


Michael H. Melner, a program director in molecular genetics and biochemistry for the American Cancer Society, called the research “very promising,” in part because it is based on finding mutations.


“It tells you not just that cancer is there, but which mutation is there,” Dr. Melner said. “As we learn more and more about which mutations are associated with more or less severe forms of cancer, it’s more information, and possibly more diagnostic.”


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Shares Rise as Companies Report Earnings


Stocks rose on Wall Street on Wednesday after corporate earnings reports got off to a good start.


The Dow Jones industrial average climbed 61.66 points to 13,390.51. The Standard & Poor’s 500-stock index gained 3.87 points to 1,461.02, and the Nasdaq composite rose 14 to 3,105.81.


Stocks are facing their first big challenge of the year as companies start to report earnings for the fourth quarter of 2012. Throughout last year, analysts cut their outlook for earnings growth in the period and now expect them to rise by 3.21 percent, according to data from S&P Capital IQ.


“Maybe earnings expectations were a little too low,” Ryan Detrick, a strategist at Schaeffer’s Investment Research, said. “You don’t need to have great earnings, you just need to beat those expectations” for stocks to rally, he said.


Early indications were decent. The aluminum maker Alcoa reported late Tuesday that it swung to a profit for the fourth quarter, with earnings that met Wall Street’s expectations. The company brought in more revenue than analysts had expected, and the company predicted rising demand for aluminum this year as the aerospace industry gains strength. Alcoa is usually the first Dow component to report earnings every quarter.


Despite the better revenue number, Alcoa’s stock performance Wednesday was lackluster. It traded higher for part of the day, then ended down 2 cents at $9.08 a share.


Other companies fared better after reporting earnings. Helen of Troy, which sells personal care products under brands like Dr. Scholl’s and Vidal Sassoon, rose 2.7 percent, up 90 cents to $34.43 after reporting a 15 percent increase in quarterly net income.


Boeing was the biggest gainer of the 30 stocks in the Dow. It jumped 3.5 percent, up $2.63 to $76.76, after two days of sharp declines set off by new problems for its 787 Dreamliner. Boeing said it had “extreme confidence” in the plane even as federal investigators tried to determine the cause of a fire on Monday aboard an empty Japan Airlines plane in Boston and a fuel leak in another Japan Airlines 787 on Tuesday.


The wireless network operator Clearwire rose 7.2 percent, or 21 cents, to $3.13, after Dish network made an unsolicited offer to buy the company, which has already agreed to sell itself to Sprint. Dish rose 88 cents to $36.85, and Sprint fell 9 cents to $5.88.


The online education company Apollo Group fell 7.8 percent after reporting a sharp decline in fall term student sign-ups at the University of Phoenix, which it operates. The stock fell $1.62, to $19.32 a share.


Interest rates were steady. The Treasury’s benchmark 10-year note rose 1/32, to 97 29/32, and the yield was unchanged at 1.86 percent.


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Boy accused of killing neo-Nazi father opts not to testify









The Riverside boy accused of murdering his neo-Nazi father decided not to take the witness stand Tuesday, bringing an end to testimony in a juvenile court trial that attracted nationwide interest.


Riverside County Superior Court Judge Jean P. Leonard must decide whether the boy knew it was wrong to shoot and kill his father as he slept on the family's living room couch in May 2011. If found responsible for the murder, the boy could remain in juvenile custody until he is 23.


The boy was 10 years old when he shot Jeffrey Hall, regional director of a neo-Nazi organization called the National Socialist Movement.





Closing arguments are scheduled to begin Wednesday morning and the judge said she expects to release her ruling Monday.


Testimony and evidence in the case, which began in October, revolved around the boy's upbringing and a family life steeped in the hatred and violence of the neo-Nazi movement, with psychologists focusing on whether those circumstances altered his capacity to realize that killing his father was wrong.


Chief Deputy Dist. Atty. Michael Soccio argued that the boy plotted to kill his father because of fears that the father was about to divorce the boy's stepmother and break up the family. Soccio presented evidence that the boy expressed remorse within hours after the shooting.


Public Defender Matthew Hardy focused on the boy's abusive home life, where gunplay and neo-Nazi gatherings were commonplace. Witnesses testified that Hall beat his son repeatedly, often in drunken or drug-addled rages.


Social workers responded to the Hall household more than 20 times. At the time of the shooting, the boy was a dependent of the court, an effort designed in part to shield him from further abuse, Hardy said.


Clinical psychologist Anna Salter, a mental health expert called by the prosecution, testified that the boy's birth mother used heroin, LSD and other drugs while she was pregnant, which she called "devastating" to the boy's development. The boy also has an extensive history of violence dating to when he was 3. In school, he once tried to strangle a teacher with a telephone cord, she said.


Hall and his first wife divorced shortly after the boy was born. Hall won full custody when the boy was 3.


If the judge rules that the boy did not comprehend that his actions were wrong, he would be set free. If she finds the boy responsible for the killing, a hearing will be held to determine where to place him.


phil.willon@latimes.com





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Rogue Planet Confirmed Orbiting Around 'Eye of Sauron'



LONG BEACH, California – Astronomers have confirmed that a controversial exoplanet called Fomalhaut b actually does exist and have calculated its potential orbit. The results show that the object is even stranger than scientists could have imagined, dubbing it a “rogue planet.”


The uncertainty about this object started in 2008, when scientists released an image taken with NASA’s Hubble space telescope of a tiny dot of light in the debris disk of a young, bright star called Fomalhaut, which is about 25 light-years away in the constellation Piscis Austrinus. At the time, they presented only two data points, showing the exoplanet as it existed in 2004 and 2006. It was a sensational image — the enormous debris disk made the star resemble the “Eye of Sauron” from the Lord of the Rings movies — and was one of the first directly imaged extrasolar planets ever seen.


But follow-up from other researchers failed to find the purported world. The original instrument on Hubble that saw Fomalhaut b broke in 2007 and was never replaced, meaning the team that discovered the exoplanet couldn’t reproduce their results either. When they spotted it in 2010 with another instrument, the object seemed to have drifted too far to the right to be in orbit around the star. This led some astronomers to discount the discovery of Fomalhaut b.


But late in 2012, a few other telescopes managed to snap images of the exoplanet. And now, the original team has presented their own new data. “We have three times as many orbits and there you see it very clearly in 2012,” said astronomer Paul Kalas of the University of California at Berkeley and the SETI Institute, pointing to a new image released today during a press conference here at the American Astronomical Society 2013 meeting.




With their four data points, the original team has been able to calculate several potential orbits for the object. They show the exoplanet moving on a highly eccentric orbit around its parent star, coming in as close at 40 astronomical units (AU) and then swinging out to 350 AU. (An AU is the distance between the Earth and the sun). There is some indication that the planet’s orbit is very inclined relative to the debris disk around Fomalhaut, meaning that the exoplanet doesn’t pass through it, instead moving above and then underneath the dust.


This movement suggests to Kalas and his team that Fomalhaut b is a rogue planet, acting much more like a comet or icy body in our solar system’s Kuiper belt, which generally orbits far from the sun but may sometimes come in closer. The astronomers think the mass of the exoplanet is at least as much as an icy dwarf world, like Sedna in our solar system, but it could be as big as Jupiter. In either case, it’s unlike anything seen in our own system and shows that the architecture of other planetary systems could greatly differ from our own.


Image: NASA, ESA, and Paul Kalas (University of California, Berkeley and SETI Institute). Video: NASA/STSCI


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“Idol” judges Mariah Carey, Nicki Minaj play nice after feud






LOS ANGELES (Reuters) – New “American Idol” judges Mariah Carey and Nicki Minaj shrugged off their widely publicized feud on Tuesday as a “trumped-up thing” that was merely a passionate difference of opinion over the TV talent show‘s contestants.


In their first big media appearance ahead of the hit show’s return to Fox television on January 16, the two pop stars showered each other with praise while barely looking at each other.






A day after the airing of an ABC TV interview in which Carey said she hired extra security following threats reportedly made against her by Minaj last year, the “Hero” singer told reporters it was time to focus on the aspiring “Idol” stars.


“This is a very passionate panel. There are a lot of strong personalities,” said Carey, who is reportedly being paid $ 18 million to be an “American Idol” judge.


“The fighting is what it is. This is ‘American Idol.’ It is bigger than some stupid trumped-up thing. It’s about the next superstar … The whole thing is convoluted. It’s a distraction from the show and the contestants,” Carey said.


Minaj, an outspoken 30-year-old rapper, called Carey one of her “favorite artists of all time.”


“She has really shaped a generation of singers and to be on a panel with her where (contestants) all aspire to be Mariah Carey … I feel excited to see them, see someone they look up to so much,” Minaj said.


Carey, 42, recalled working with Minaj in 2009 on an album track, and knowing at the time that the rapper would be successful.


“Nothing to write about now!” quipped “American Idol” host Ryan Seacrest.


REVIVING AGING ‘IDOL’ FORMAT


Carey, Minaj and country singer Keith Urban joined “Idol” as judges in September for the upcoming 12th season after the departures of Jennifer Lopez and Aerosmith frontman Steven Tyler.


Carey, with more than 200 million album sales, and Minaj, one of the most exciting voices in rap, are expected to revive the contest, which last year lost its eight-year crown as the most-watched show on U.S. television to “Saturday Night Football” on rival NBC.


Video of the pair arguing was leaked online from early auditions in last fall, and Minaj was reported to have said, “If I had a gun, I would shoot that bitch.”


American Idol” executive producer Trish Kinane said the new panel was chosen after fans said they wanted to see judges who were current and talented in their own right.


“They (fans) also wanted honesty, and we very much took that into consideration. They (the judges) are not shrinking violets. They say what they think, and we encourage that,” Kinane said.


American Idol“, which has produced stars like Kelly Clarkson and Carrie Underwood, faces growing competition for TV audiences from a slew of rivals like “The Voice,” “The X Factor,” and “America’s Got Talent.” Last year, “Idol” attracted under 20 million viewers, down from the more than 30 million who watched on a regular basis five or six years ago.


But Mike Darnell, reality programming chief for Fox, said the new panel had “re-invigorated the show.”


“Yes, there are too many (talent) shows on the air and they are all taking each other down a bit. But this is still the king of the shows and the only one that makes stars,” Darnell said.


Fox is a unit of News Corp.


(Reporting by Jill Serjeant; Editing by Paul Simao)


TV News Headlines – Yahoo! News





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Gaps Seen in Therapy for Suicidal Teenagers


Most adolescents who plan or attempt suicide have already received at least some mental health treatment, raising questions about the effectiveness of current approaches to helping troubled youths, according to the largest in-depth analysis to date of suicidal behaviors in American teenagers.


The study, in the journal JAMA Psychiatry, found that 55 percent of suicidal teenagers had received some therapy before they thought about suicide, planned it or tried to kill themselves, contradicting the widely held belief that suicide is due in part to a lack of access to treatment.


The findings, based on interviews with a nationwide sample of more than 6,000 teenagers and at least one parent of each, linked suicidal behavior to complex combinations of mood disorders like depression and behavior problems like attention-deficit and eating disorders, as well as alcohol and drug abuse.


The study found that about one in eight teenagers had persistent suicidal thoughts at some point, and that about a third of those who had suicidal thoughts had made an attempt, usually within a year of having the idea.


Previous studies have had similar findings, based on smaller, regional samples. But the new study is the first to suggest, in a large nationwide sample, that access to treatment does not make a big difference.


The study suggests that effective treatment for severely suicidal teenagers must address not just mood disorders, but also behavior problems that can lead to impulsive acts, experts said. According to the Centers for Disease Control and Prevention, 1,386 people between the ages of 13 and 18 committed suicide in 2010, the latest year for which numbers are available.


“I think one of the take-aways here is that treatment for depression may be necessary but not sufficient to prevent kids from attempting suicide,” said Dr. David Brent, a professor of psychiatry at the University of Pittsburgh, who was not involved in the study. “We simply do not have empirically validated treatments for recurrent suicidal behavior.”


The report said nothing about whether the therapies given were state of the art or carefully done, said Matt Nock, a professor of psychology at Harvard and the lead author, and it is possible that some of the treatments prevented suicide attempts. “But it’s telling us we’ve got a long way to go to do this right,” Dr. Nock said. His co-authors included Ronald C. Kessler of Harvard and researchers from Boston University and Children’s Hospital Boston.


Margaret McConnell, a consultant in Alexandria, Va., said her daughter Alice, who killed herself in 2006 at the age of 17, was getting treatment at the time. “I think there might have been some carelessness in the way the treatment was done,” Ms. McConnell said, “and I was trusting a 17-year-old to manage her own medication. We found out after we lost her that she wasn’t taking it regularly.”


In the study, researchers surveyed 6,483 adolescents from the ages of 13 to 18 and found that 9 percent of male teenagers and 15 percent of female teenagers experienced some stretch of having persistent suicidal thoughts. Among girls, 5 percent made suicide plans and 6 percent made at least one attempt (some were unplanned).


Among boys, 3 percent made plans and 2 percent carried out attempts, which tended to be more lethal than girls’ attempts.


(Suicidal thinking or behavior was virtually unheard-of before age 10.)


Over all, about one-third of teenagers with persistent suicidal thoughts went on to make an attempt to take their own lives.


Almost all of the suicidal adolescents in the study qualified for some psychiatric diagnosis, whether depression, phobias or generalized anxiety disorder. Those with an added behavior problem — attention-deficit disorder, substance abuse, explosive anger — were more likely to act on thoughts of self-harm, the study found.


Doctors have tested a range of therapies to prevent or reduce recurrent suicidal behaviors, with mixed success. Medications can ease depression, but in some cases they can increase suicidal thinking. Talk therapy can contain some behavior problems, but not all.


One approach, called dialectical behavior therapy, has proved effective in reducing hospitalizations and suicide attempts in, among others, people with borderline personality disorder, who are highly prone to self-harm.


But suicidal teenagers who have a mixture of mood and behavior issues are difficult to reach. In one 2011 study, researchers at George Mason University reduced suicide attempts, hospitalizations, drinking and drug use among suicidal adolescent substance abusers. The study found that a combination of intensive treatments — talk therapy for mood problems, family-based therapy for behavior issues and patient-led reduction in drug use — was more effective than regular therapies.


“But that’s just one study, and it’s small,” said Dr. Brent of the University of Pittsburgh. “We can treat components of the overall problem, but that’s about all.”


Ms. McConnell said that her daughter’s depression had seemed mild and that there was no warning that she would take her life. “I think therapy does help a lot of people, if it’s handled right,” she said.


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A Financial Service for People Fed Up With Banks


Steve Dykes for The New York Times


Shamir Karkal, left,







Like many people, Josh Reich got fed up with his bank after it charged him overdraft fees and he endured painful customer service calls to fight them. But unlike most people, Mr. Reich, a software engineer from Australia, decided to come up with a better way to bank.




Mr. Reich and a co-founder, Shamir Karkal, created Simple, an online banking start-up company based in Portland, Ore., that offers its customers free checking accounts and data-rich analysis of their transactions and spending habits.


Few entrepreneurs dare to set their sights on industries as large and entrenched as banking and expect to flourish. But Mr. Reich, 34, a professed data nerd who has built computers and tinkered with the innards of sophisticated cameras, holds a master’s degree in business and has a robust background in financial data analysis. He is confident that Simple’s minimalist approach — it promises not to charge any fees for any services — will draw fans and customers.


“Banks make money by keeping customers confused,” Mr. Reich said. “There’s no incentives to make the experience better.”


Of course, inviting people to trust a start-up with their money is a lot to ask. The company, which began signing up customers late last year in a deliberately slow fashion, now has 20,000 and has processed transactions worth more than $200 million.


It also has the backing of prominent venture capital firms including Shasta Ventures, SV Angel and IA Ventures and has raised more than $13 million. Simple has few, if any, direct competitors, although some services like SmartyPig and Mint offer analysis of bank accounts and financial transactions.


Simple is actually not a bank. It has deals with CBW Bank and Bancorp, federally insured banks, to hold its customers’ money.


And it has built slick apps for the Web and mobile devices to give customers an overview of their accounts and transactions. But it encourages customers to treat it as a bank, closing their more traditional accounts and only using Simple.


The company’s biggest challenge, banking analysts say, will be to persuade people to give it a try.


“It is extremely difficult to get consumers to change and leave their banks,” said Jacob Jegher, an analyst at Celent, a research and consulting firm. “Plus, although they are not a bank, they still operate like a financial institution, and they will face challenges that big banks have decades of experience with.”


After the financial crisis, smaller community banks and credit unions gained customers eager for alternatives to larger corporate banks. Experts say Simple could attract those customers as well.


Early adopters are warming to the service; during a speech last fall at a conference aimed at technology enthusiasts, designers and creative people, Mr. Reich asked how many in attendance were Simple customers. A majority of the crowd raised hands.


Mr. Reich said Simple was keeping its first group of customers small to allow it to work out any kinks. (Already there have been some flaws, like one that briefly locked several users out of their accounts in November.) At this stage, those who want a Simple account have to request an invitation on its site, though these are handed out fairly liberally to those who meet the minimal qualifications of Simple and its bank partners.


Customers receive a plain white card that can be used like a debit card. The company offers most traditional banking features, like direct deposit and money transfers. But there is plenty it does not offer, like joint or business checking accounts, or paper checkbooks, which may be a deal killer for some.


The start-up does not have physical bank branches or automated teller machines, nor does it plan to build any. As a result, Simple customers cannot make cash deposits and must rely on the Internet and phone for service.


Simple tries to make up for what it does not have with modern software design and data analysis.


Each Simple transaction is tagged with detailed information that allows customers to search their accounts with plain English commands like “Show me how much I spent on meals over $30 last month,” or “Show me how much money I spent on gifts in December.”


Customers can see transactions plotted on a map or search for all transactions in a particular state or country, something that would be difficult with a traditional bank account.


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