Eighth-grader Windy Soto wants to join her middle
school's in-crowd and befriends charismatic new student
Nina Díaz, who introduces her to the deadly "choking
game" (self-asphyxiation) as a bond of "breath sister"
friendship.
This book’s main concerns are; medical trauma,
normalization of dangerous behavior, peer
pressure/manipulation, psychological
distress, self-endangerment, and toxic friendships.