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I think, reading between all the various lines, it seems Sally had had enough and has likely headed to the river intentionally.
I'm wondering if its Alzheimers related or something similar. Although she may have shown no previous symptoms the first sign of my son's great grandmother's Alzheimers was that she started getting up in the middle of the night thinking it was daytime and going out. She rang her daughter at around half four one morning to tell her she'd just walked into town and none of the shops were open. I'm wondering if something similar has happened to Sally, shes woken at 3, gone downstairs for a drink, looked at the clock thought it was 3 in the afternoon, put her coat on and gone off for a walk. People with Alzheimers are often drawn to water too. I wonder had she ever walked that route before or whether she was heading for somewhere from her past?