What do you do when you've done something terrible and believe there is no chance to live a normal life? Sabotage yourself. At least that's what Kip McFarland aka Wade does when the ghosts from his past start screaming. Right Behind You (Little, Brown, 2007) by Gail Giles grabbed me by the throat and wouldn't let go until I finished the book. It's a very worthwhile read. Despite a horrible action, Kip is a very sympathetic main character.
Surprisingly enough after such a serious book, if you visit Gail's website, be prepared for humor.