They have to have it on video... suicide watch has 24 hour surveillance by cameras and guards... This wasn't a suicide because they would have ran in and stopped him. That leaves, something slipped into his food or drink? heart attack weapon?
They have a lot of ways...

Or maybe it is a complete set up and they were told to "look away"....while they got him out.

: Jeffrey Epstein dead in apparent suicide

: By Larry Celona and Eileen AJ Connelly

: August 10, 2019 |

: Convicted pedophile Jeffrey Epstein died overnight in an
: apparent suicide, law enforcement sources told the Post
: Saturday.

: A gurney carrying a man who looked like Epstein was wheeled

: into New York Downtown Hospital around 7:30 a.m.

: A call for a reported cardiac arrest came in at 6:38 a.m.,
: Fire Department sources said.

: __________________________________________

: WAS HE SUICIDED BY THE DEEP STATE? HARD TO BELIEVE SINCE HE
: WAS ON SUICIDE WATCH... OR IS IT A COVER STORY FOR GIVING
: UP INFORMATION AND HE WAS PROMISED PROTECTION AND HE IS
: REALLY STILL ALIVE? IS HE RETIRED ON HIS NEW ISLAND? WE
: WILL FIND OUT!

:
: https://nypost.com/2019/08/10/convicted-pedophile-jeffrey-epstein-dead/