The language in this book is a problem. Also, the uncle's descent into madness and violence is quite frightening. The horrifying discovery the main character makes about her childhood makes this for VERY mature readers.
Parents need to know that there is some hefty stuff in here. Two teens discuss a man that has poisoned two other men, and who may poison them. Teens are in many perilous situations. A man suggests that two teenagers have sex. A man commmits suicide after leaving another man to die of exposure. There is some language, but is't nothing more than what your average teen already knows. Altogether, it is an adventurous (but confusing) slightly mature book. Okay for 13+.