Amy runs out on her family's five-star rehab talks

The parents of the 23-year-old singer arranged the meeting at a hotel as fears grew that she has pressed the self-destruct button.

They discussed where she might be sent for rehab, but after a heated exchange Miss Winehouse walked out with her husband Blake Fielder-Civil and sped off in a limousine.

Miss Winehouse had been sent to the hotel to detox hours after being released from hospital following her collapse.

Her record company has insisted she was suffering from "severe exhaustion", but the singer - whose songs include Rehab and Back To Black - has admitted she was "out of control" when she collapsed last Wednesday.

She said: "It was crazy - one of the most terrifying moments of my life.

"I know things have got to change and I have to sort myself out.

"I could not recognise myself. I was so out of control. I am sorry."

Miss Winehouse collapsed in the early hours of Wednesday after taking a rumoured cocktail of Ecstasy, cocaine and the horse tranquilliser ketamine.

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She was taken to casualty by her 25-year-old husband and was said to have been given an emergency shot of adrenaline and had her stomach pumped before being discharged later the same day.

Hours later she was taken to the five-star Four Seasons Hotel in rural Hook, Hampshire, while her family decided how to stop her downward spiral.

Her parents Mitch and Janis were joined by her husband and his parents Georgette and Giles.

The intense talks were said to have become heated as they discussed her worrying weight loss and relentlessly hard-living lifestyle.

As the rest of her entourage discussed her wellbeing, Miss Winehouse cut a melancholy figure, wandering the hotel's grounds minus her usual beehive hairstyle and heavy eyeliner.

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With her dishevelled mop hanging unbrushed and her painfully-thin arms protruding from a dress which hung off her tiny frame, she appeared altogether more sober than she has done in recent weeks.

Members of her family and friends joined her as she sipped from a glass thought to contain only juice.

But when the summit on where she ought to be admitted for rehab became too much for her, she left suddenly.

A witness said: "She was barely recognisable without all her make-up, although she looked as gaunt as ever.

"Clearly things were not going as well as her parents had hoped as she left speedily without them."

The singer's hospital treatment meant she had to pull out of a concert in Oslo, the latest in a string of missed performances.

In the past few weeks she has also cancelled shows at T in the Park in Scotland and Liverpool's Summer Pops concert blaming "exhaustion".

When she has bothered to turn up she has behaved erratically, swaying and often forgetting lyrics.