Letter to Editor. Prerequisites for psychiatric examination detecting the intention to commit suicide.

The recent plane crash caused by the pilot increased the interest in the possibility of medical examination, which would be able to detect the intention of committing suicide. The development of such a diagnostic procedure is not only important for the prevention of events in the civil and military aviation, but also due to increase in the incidence of various suicide terrorist acts. The author expresses his opinion on the nature of such examination, due to his experience of working in Acute Poisoning Treatment Centre. The Centre admits about 1 000 patients per year, who have been rescued after suicide attempts made by the intake of a toxic substance. He discusses the developed scheme of structuralized interview, however, he believes that the ability to detect the existence of suicidal ideation was significantly improved as a result of the formulation of Interpersonal Theory of Suicide, which distinguishes four stages: 1) passive suicidal ideation, 2) suicidal desire, 3) suicidal intent, 4) lethal and near lethal suicide attempts. Next, the author presents his own prediction of the development of methods, enabling the objective detection of "suicidal intent" (plan). In his opinion, such an examination in the future, would be based on brain imaging techniques, which could detect the specific configuration of a person's brain neural circuits representing the existing plan of suicide. The real ability to detect such a configuration of neural circuits can be predicted on the basis of new, quoted results of neurophysiological studies.