Tilt by Ellen Hopkins

The story of 3 very different teenagers.  One becomes pregnant and decides to keep the baby.  Another one gets into a relationship with a boy who is HIV positive.  The last one falls in love with an older boy, changes her appearance to get his attention but ends in self-distruction.  

This book has sexually explicit excerpts involving minors. The book also contains sexual assault, underage drinking, illegal drug abuse, and profanity.