AIM: Assisted dying has been legally available in New Zealand for terminally ill people with unbearable suffering since 2021. Since the End of Life Choice Act 2019 is likely to have a significant societal change as assisted dying becomes "normalized", the New Zealand public may be more open about expressing death wishes and suicide ideation. The international literature on the relationship between suicide attempts and assisted dying is limited. This case series is aimed to report three cases of suicide attempts that are associated with an assisted death request. METHOD: We encountered these three cases in our clinical work within the first year of assisted dying legalisation in New Zealand. Informed consent was obtained from the patients for the authors to report their experiences. RESULTS: The first case is a 96-year-old man with major depression but no terminal illness who attempted suicide by strangulation after his assisted dying request was declined by his GP. The second case is a 95-year-old woman who had death wishes for 5 years; she approached her GP for an assisted death but was declined because she did not have a terminal illness. She took an overdose after stockpiling medication. The third case is a socially isolated 79-year-old man who was given a new diagnosis of metastatic pancreatic cancer in the hospital. He contacted his GP requesting assisted dying after two failed suicide attempts the day after his hospital discharge. He eventually had an assisted death. CONCLUSION: The first two cases illustrate the importance of conducting a comprehensive suicide risk assessment when a person is deemed ineligible for assisted dying, a time that represents a heightened at-risk period. Routine suicide risk assessment should also be considered in terminally ill people who are socially isolated or have other suicide risk factors.