At least five students were critically wounded in the attack yesterday, including a boy whose liver was pierced by a knife thrust that narrowly missed his heart and aorta, doctors said. Others also suffered deep abdominal puncture wounds.
The rampage which came after decades in which US schools geared much of their emergency planning toward mass shootings, not stabbings set off a screaming stampede, left blood on the floor and walls, and brought teachers rushing to help the victims.
As for what set off the attack, Murrysville Police Chief Thomas Seefeld said investigators were looking into reports of a threatening phone call between the suspect and another student the night before. Seefeld didn't specify whether the suspect received or made the call.
The FBI joined the investigation and went to the boy's house, where authorities said they planned to confiscate and search his computer.
Defence attorney Patrick Thomassey described him as a good student who got along with others, and asked for a psychiatric examination.
The attack unfolded in the morning just minutes before the start of classes at 1,200-student Franklin Regional High School, in an upper-middle-class area 24 kilometres east of Pittsburgh.