This was a fantastic, dark and intense thriller that kept me on the edge of my seat!! This was my first Helen Fields book and certainly won’t be my last, her style of writing is incredibly compelling and had me hooked from the start, she also did a fantastic job setting the atmosphere and the scene of the Institution. 

Although the chapters were slightly longer than I like it didn’t put me off because it was so fast paced and everything flowed so well. The characters were brilliantly written and developed, I loved getting to read about each of the murderers their backstories, I thought it tied in really well with the story. I found myself trying to profile Nurse Cameron’s killer along with Dr Connie. The tension and suspense built and built the whole way through this book and I did not expect any of the twists!

Overall, I highly recommend this book for anyone who is looking for a book that will take you on a dark and crazy roller coaster!