Molly (not her real name) was a 50-something frequent flyer in our Emergency Department in the North West of Ireland. A habitual self-harmer and polypharmacy overdoser, she was the quintessential treatment resistant depressive with co-existing Axis ll issues. The psychiatry unit had all but washed their hands of her, and all those involved in her frequent care simply went through the motions, presentation after presentation, month after month. I lost count of the sutures I had placed in her self-inflicted wounds and would have recognised her by her glottis, so often had she been tubed in our ED. That she lived literally minutes from our Emergency Department had undoubtedly played a role in the longevity of this troubled soul.