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Marilee
It very much depends on the 16 year old. The descriptions of self harming are harrowing. The drug and alcohol use, plus sex, is rampant. The family relationships depicted are sick. It's a very dark book. I can see some teens as being quite traumatized by it. Frankly, I don't think it's suitable for any impressionable teens.
Christina Ramirez
no worse then what they see on TV and hey at least they're reading! (it really depends on what you let your kid watch) its R rated
Kimberly
I wouldn't give this book to a 16 year old.
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