A man has been shot dead by an off-duty police officer after stabbing four people near Boston, two of them fatally.
Two people were stabbed at a shopping centre in Taunton by an attacker who crashed a car into the front of a store.
Two other people were earlier stabbed at a nearby residence, state police said.
The suspect died from his injuries after being shot at the Silver City Galleria, in Massachusetts.
The motive for the attacks remains unknown.
Witnesses told local television station WHDH-TV that they heard gunfire and saw people running from the shopping centre.
The centre was evacuated and put on lockdown as state and local police units established multiple crime scenes.
Taunton about 40 miles south of Boston.
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