This book is excellent. It following the path of teenagers who are rejected, feel unwanted, or trapped, and how their choices result in drugs, death,..Show More » and even prostitution. The key emphasis is that the teenagers and the parents for a variety of reasons are not communicating. That means that they are not talking AND listening to each other. The result is that a schism develops and widens. This is NOT a parenting book. Rather it is a book that lets you, as the observer, watch and become scared as you want to save these kids from their path of destructiveness only to realize that the saving needed to start before they ever left home. I believe that it is a very good book for teenagers and parents. However, there are multiple sexual descriptions that may not be appropriate for the preteen or the sexually naive teenager.