Atmospheric from the off

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The opening of the book is set in Italy. We are not told if this is told in the past, present or future, although I suspect you’re supposed to assume past, but feel it may be set in the future. Could this be the twist?!
The utter devastation of the loss of a child is heartbreakingly captured in the first couple of pages. And whilst the family try to recover, I can’t help but think there is more devastation to come.