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Supplementing the sunshine- what is the role of psychiatrists, particularly in a forensic context, in maintaining patients vitamin D levels?

Abstract Vitamin D has an integral role in maintaining calcium homeostasis in the blood. It is well established that prolonged and severe vitamin D deficiency leads to rickets in children and osteomalacia in adults. Increasing evidence indicates that deficiency has associations with a number of other physical and mental health conditions. Doctors should ensure that their patients have information so that they can make informed decisions about their health, be it their physical or mental health. Recent NICE guidelines on vitamin D recommend that health care professionals have a role in informing patients about vitamin D supplements. This is especially relevant for forensic psychiatrists, as their patients often fall into recognised at risk groups for lowered vitamin D levels. One could argue that patients who have long admissions in secure wards are a specific at risk group and that supplementation should be routine.