Tucson residents took part in a ringing of the bells ceremony to mark exactly a year since the shootings Bells have rung out across US city of Tucson in the state of Arizona to mark exactly one year since the shooting spree that left six people dead.
The bells sounded at 10:11 (17:11 GMT), starting a day of commemorative events.Congresswoman Gabrielle Giffords was shot through the head in the attack and is still recovering from her injuries.
Thirteen people were injured in the shootings. Jared Loughner, 23, was arrested at the scene but found mentally unfit to stand trial.
Ms Giffords has spent the past year recovering from her injuries at a specialist hospital in Texas. She is undergoing intensive speech and physical therapy.
She is in Tucson this weekend to mark the anniversary, and will attend a candle-lit vigil at the University of Arizona on Sunday evening.
Giffords and her husband visited a trail named after one of the victims On Saturday she made a surprise visit to the scene of the shooting, a Safeway supermarket in north-west Tucson.
The congresswoman and her husband also hiked on a desert trail to the east of the city which has been named after her aide Gabe Zimmerman, who was killed in the shooting.
Her husband, astronaut Mark Kelly, wrote on Twitter that the couple had visited doctors and nurses at the University of Arizona Medical Center, who treated her in the immediate aftermath of the attack.
"We are so thankful for their care," he wrote.
President Barack Obama telephoned Gabrielle Giffords on Sunday and praised her "courage and determination". He said she was "an inspiration to his family and Americans across the country".
Jared Loughner, the man accused of carrying out the shootings, is being held in a mental health facility while doctors attempt to treat him so he can be tried for the attack.
He has pleaded not guilty.
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