Death by suicide is a global challenge and a public health priority, highlighted in recent NHS training. NICE guidelines and the five-year NHS suicide prevention strategy identify physical illness as a high-risk factor. Middle-aged to older adults with acute coronary syndrome, heart failure, and cardiac implantable electronic devices are 2-4 times more likely to commit suicide than the general population. Although the cardiovascular health of these patients is carefully monitored, suicide remains underrecognized in cardiology. In 2025, they issued two consensus statements: the European Society of Cardiology endorses routine screening for mental well-being, while the American Heart Association recommends targeted screening based on symptoms. Both statements represent an opportunity to strengthen suicide prevention.