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Parents need to know that this book is often challenged and even banned because of its depictions of teen sex. But it remains one of the best ways of discussing this very sensitive subject with your very sensitive teens. It deals frankly and responsibly with tough questions. Katherine has sex with her boyfriend, talks frankly about his penis, visits Planned Parenthood to get birth control pills, and discusses sex with her mother, grandmother, and best friend. She also deals with other adult issues: Michael's best friend tries to hang himself; another character, who has had many sexual partners, gets pregnant and has a baby; and Katherine's grandfather dies. There's some drinking, and some characters smoke marijuana. Readers who are mature enough for the content will find a very realistic portrayal of first love — and a thoughtful protagonist who considers carefully before deciding to enter a sexual relationship. There are plenty of opportunities for parents to use this book to talk about their own values about sex, birth control, teen pregnancy, and more.