Spanning decades, Perish tracks the choices Helen Jean-the matriarch of the Turner family-makes and the way those choices have rippled across generations, from her children to her grandchildren and beyond. ,Told in alternating chapters, Perish follows four members of the Turner family: Julie B., a woman who regrets her wasted youth and the time spent under Helen Jean's thumb; Alex, a police officer grappling with a dark and twisted past; Jan, a mother of two who yearns to go to school and leave Jerusalem, Texas, and all of its trauma behind for good; and Lydia, a woman whose marriage is falling apart because her body can't seem to stay pregnant, as they're called home to say goodbye to their mother and grandmother.