Yolanda is conflicted. Her sister Elf has battled depression for her whole adult life, and is in a psychiatric ward under permanent observation after attempting suicide — again.
Yolanda has always looked up to Elf as her talented and beautiful older sister. She loves her with a fierce passion and wants to believe in the possibility of a future together, one in which Elf gets better. But it's looking unlikely and Yolanda has to decide: if the person you love is tired of living, is it kinder just to let them go?
All My Puny Sorrows (a line from a Coleridge poem) is written out of Miriam Toews's personal experience.
It showcases Toews's beguiling narrative voice — her easy, snappy, darkly comic intimacy. It is funny and serious, and light-hearted in its handling of the biggest question of all.