Parents' Guide to How to Save a Life

How to Save a Life Poster Image

Common Sense Media Review

Kate Pavao By Kate Pavao , based on child development research. How do we rate?

age 14+

Tender tale of pregnant teen celebrates hope after loss.

Parents Need to Know

Why Age 14+?

Any Positive Content?

Parent and Kid Reviews

age 13+

Based on 4 kid reviews

What's the Story?

When pregnant teen Mandy arrives to live with the family adopting her baby, she is leaving behind a mean mother and her mother's sexually abusive boyfriend. She narrates the story with Jill, who will be the baby's sister; Jill's own father died in a car accident, and she worries that her grieving mother hasn't quite thought through the adoption, which is being done without lawyers or a contract. When the mother meets Mandy, she is suspicious of the strange girl, and even hires a friend to investigate her. But as she learns more about Mandy's troubled past, she begins to realize that her boyfriend's observation is true: \"She may be giving up the baby so it has a mother, but she kind of needs one herself.\"

Is It Any Good?

Our review:
Parents say : Not yet rated
Kids say ( 4 ):

The two very different protagonists allow readers to get in deep with the complicated emotions of these people in pain. Zarr creates some truly tender moments that will stay with teens long after they read this book, such as when Jill's mother tells Mandy the she will love her baby even if Mandy's mother's boyfriend turns out to be the father ("'Either way, this little girl is innocent, and I'm going to love her with all my heart.' Her whisper is fierce.") Some of the plot lines will be more interesting to readers than others -- the thread about Jill hiring her friend to investigate Mandy falls pretty flat -- but overall readers will relate to the protagonists and applaud their ultimate decision to support each other and believe in hope.

Talk to Your Kids About ...

  • Families can talk about books and movies depicting teen pregnancy. How does this novel compare with other books that you've read about the subject? Is it more or less realistic? Are stories like this one more likely to normalize teen parenthood -- or help families think and talk about a difficult subject?

  • What do you think of the book's title? Whose life is the author talking about? What does she believe is the secret to saving a life?

Book Details

Did we miss something on diversity?

Research shows a connection between kids' healthy self-esteem and positive portrayals in media. That's why we've added a new "Diverse Representations" section to our reviews that will be rolling out on an ongoing basis. You can help us help kids by

How to Save a Life Poster Image

What to Read Next

Common Sense Media's unbiased ratings are created by expert reviewers and aren't influenced by the product's creators or by any of our funders, affiliates, or partners.

See how we rate