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Fortunately, older people attending accident and emergency following self-harm seemed likely to receive psychosocial assessment from a mental health specialist, and they were much more likely than younger patients to be offered after-care. Hospitals will need to monitor accident and emergency and other records if they are to check that their services are responding to the high risks seen in older patients.

Considers the statistics and implications of a dramatic increase in student numbers in all UK higher education institutions. Considers also the changes in the nature of students enrolled, such as mature students and credit accumulation and transfer schemes; changes in the provision of higher education through modularization and new methods of course delivery, among others. Reviews levels of resourcing and discusses the effects on library services. Examines service provision, information skills, teaching and management issues; and highlights the resulting problems and opportunities facing higher education libraries in the UK. Examines the issues in more specific relationship to the experiences of four university libraries in the East Midlands of England.

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