I really enjoyed Kellerman's first novel, Sunstroke and looked forward to what he would do next. In Trouble, we are introduced to Jonah Stem, a medical student in New York City. Overworked and tired, Jonah intervenes when a woman is attacked in the early morning hours. He ends up saving her, but accidentally kills her attacker. This sends his life spiralling out of control when he is vilified by the victim's family and discovers that his good dead will not go unpunished. Jonah is a flawed character and some of his decisions seem to be made just to move the plot along. Still, I wanted to keep reading. The book contains more graphic scenes than Kellerman's first novel. For people who enjoy Greg Iles.