At least 19 people have been confirmed dead after a knife attack at a centre for disabled people outside Tokyo.
A further 25 people were injured, 20 of them seriously, by the mass stabbings in the city of Sagamihara.
Police say the man who attacked the care home was arrested on suspicion of attempted murder after turning himself in and saying: "I did it."
According to the Asahi Shimbun newspaper, he also told officers: "I want to get rid of the disabled from this world."
NHK is reporting that the 26-year-old suspect, Satoshi Uematsu, was a former employee of the centre who broke into the building by smashing a window.
Earlier reports had suggested 45 people were wounded in the attack, but there have been conflicting statements about the number of victims.
The emergency services were called to the Tsukui Yamayuri Garden facility shortly after 2.30am on Tuesday morning (18.30 GMT ).
Officials say the attacker handed himself in to police about two hours later, and had left his knife in the car.
The facility has about 150 long-term residents with learning difficulties and physical disabilities, NHK said - some as young as 18, others as old as 75.
Richard Lloyd Parry, Asia editor for The Times newspaper said: "From what we can see this is not any kind of political attack - this isn't like the sort of attacks we've been seeing in Germany in the past few days.
"It is somebody perhaps with a grievance - clearly someone who is deranged and very disturbed.
"These kinds of attacks in Japan are really very rare. It's an extremely safe country. Rates of murder and violent, serious crime of all kinds are low."
Mr Parry said that although gun laws in Japan are very strict, all Japanese people have very sharp knives in their homes which are used for cutting fish - and these are normally the weapons used in serious attacks.
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