[Charles Henrickson]

Does the writing say "Ismail AX" or "Ismail AK"? For there is actually a Dr. Ismail Ak who is a Professor of Psychiatry at a university in Turkey. And his research interests include the following:

"Personal Disorders, Agresivve behavior and self-mutilation, ECT, Substance-related disorders, Sexual Disorders, Forensic Psychiatry, Sleep Disorders"

http://www.ktu.edu.tr/katalog/web/tip/2.html

Given this information, it seems possible that this disturbed young man may have known about the name, "Ismail Ak," by being referred to him or his writings for psychiatric help. And if he wrote it on his own arm it's very possible that the "K" of "AK" could look like an "X."

[Charles Henrickson]

From the Turkish Association of Psychopharmacology website:

President-elect:

Professor Ismail AK, M.D. Head, Department of Psychiatry, KTU School of Medicine, Trabzon, Turkey

Ismail AK is Professor of Clinical Psychiatry at Head, Department of Psychiatry, KTU School of Medicine, Trabzon, Turkey

He is an experienced on clinical psychopharmacology of schizophrenia and bipolar disorders.