The article discusses the potential increase in medical admissions for self-poisoning cases and suggests that providing social work and psychiatric expertise in casualty departments could prevent unnecessary admissions without compromising patient safety. Dr. Blake and Dr. Broome's figures indicate that if house doctors were to assess overdoses, there would be a significant increase in admissions to psychiatric units, outpatients, and referrals to social services. However, the study does not address the impact on patients who would have been admitted by psychiatrists but received outpatient appointments from house doctors. Another section addresses vitamin D deficiency in Asian immigrants, emphasizing the importance of adequate vitamin D intake during pregnancy. A double-blind trial found that 22% of a placebo group of Asian women had low vitamin D levels at 28 weeks of pregnancy, and this increased to 40% at delivery. Infants of these mothers also had low vitamin D levels, leading to symptomatic hypocalcaemia in five cases. The authors recommend that obstetricians ensure pregnant Asian women receive adequate vitamin D supplements. A third section reviews breast cancer in mental patients, noting that survival decreases with the age of onset of breast cancer. The study also highlights the higher death rate among patients with breast cancer, which is partly due to age-related factors. Finally, a letter corrects two statements in a previous article: that only fortified infant formula milk in Britain is fortified with vitamin D, and that vitamin D deficiency is also seen in children of Asian origin born and raised in the UK.The article discusses the potential increase in medical admissions for self-poisoning cases and suggests that providing social work and psychiatric expertise in casualty departments could prevent unnecessary admissions without compromising patient safety. Dr. Blake and Dr. Broome's figures indicate that if house doctors were to assess overdoses, there would be a significant increase in admissions to psychiatric units, outpatients, and referrals to social services. However, the study does not address the impact on patients who would have been admitted by psychiatrists but received outpatient appointments from house doctors. Another section addresses vitamin D deficiency in Asian immigrants, emphasizing the importance of adequate vitamin D intake during pregnancy. A double-blind trial found that 22% of a placebo group of Asian women had low vitamin D levels at 28 weeks of pregnancy, and this increased to 40% at delivery. Infants of these mothers also had low vitamin D levels, leading to symptomatic hypocalcaemia in five cases. The authors recommend that obstetricians ensure pregnant Asian women receive adequate vitamin D supplements. A third section reviews breast cancer in mental patients, noting that survival decreases with the age of onset of breast cancer. The study also highlights the higher death rate among patients with breast cancer, which is partly due to age-related factors. Finally, a letter corrects two statements in a previous article: that only fortified infant formula milk in Britain is fortified with vitamin D, and that vitamin D deficiency is also seen in children of Asian origin born and raised in the UK.