This Letter to the Editor describes a serious suicide attempt plan based on the “Final Exit” book by Derek Humphrey. Through deception & cunning & visits to 2 physicians, a patient obtained a lethal combination of medications. Her innovative plan was discovered & prevented by a family member. The authors advise that anyone requesting medication that could be serious in overdose & appears to be depressed, should be evaluated further regarding mood &, if depressed, regarding suicidal ideation.