I found this book too triggering on too many levels to continue to read it. I DNF'd at 23% after skipping large chunks to try to get to less triggering content. No rating possible. 
 Trigger Warnings (based on partial reading up to 23%): (view spoiler)[ car accident, self loathing, suicidality, internalized homophobia, dissociation, coercive relationships, emotional abuse, homophobia, high risk solo breathplay, sexual harassment, precariously housed MC at risk of homelessness, self harm, suicidal manipulation, physical fights, coercive sexual situations, addiction, drunk driving, vehicular homicide, internalized ableism, so much misogyny, sex work represented as negative, coercive and self destructive. (hide spoiler)]