Jamal said only, "Laura..." And I knew, just knew by the rip through my gut and the instant convulsion in my heart, knew by Jamal's uncharacteristically unsmiling face. I knew because Laura always did what I wished I could do.

First cousins Laura and Miles grew up like sisters. Miles thought of Laura as the golden one -- smart, beautiful, rich, and popular -- while Miles considered herself the unwanted one -- an unattractive, underachieving outcast. Laura's suicide shatters Miles and leaves her feeling completely alone, and sets Miles on a dangerous downward spiral. But in the strength Miles finds in herself and in those she didn't believe cared about her, she is able to rebuild her life in unexpected ways.

Rachel Cohn's emotionally powerful new novel views serious issues such as depression, suicide, prescription-drug abuse, and alternative family configurations through the lens of family love and survival.