Once again, it seems Amy Winehouse is spinning out of control as evidenced by her third trip to the hospital in as many months.

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The “You Know I’m No Good” songstress was reportedly hanging out in her luxury villa in St. Lucia when she became ill and her friends called an ambulance.

And given her poor performance at the St. Lucia Jazz Festival in addition to her recent health problems, it seems Amy may not be fit for her May 31st gig at London’s Shepherd’s Bush Empire.

An insider told press, “Amy’s gig might as well be canceled now.  She’s not going to make it. It’s not worth her while even if she does make it, it will be a shambles. She is not ready for it and she proved it at the St Lucia Jazz festival.”