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About A Lethal Question

With one patient’s question, a therapist’s life careens off the rails

Manhattan psychiatrist Bill Madrian takes pride in the level of trust he establishes with his patients. For a patient to open up, they must truly believe that everything said in a therapy session remains confidential. But Bill has never realized the complications this confidentiality could present—until he treats Alex Bronzi.

One day, in a session with Alex, the young man asks, “Hey Doc, ya wanna know who clipped Boris Levenko?” Bill can hardly believe his ears. Boris Levenko was a major crime boss who had been executed a few days prior. The question, so loaded with portent, gives Bill information he desperately did not want to hear.

With this knowledge, Bill’s life is upended ,and he begins a fight for survival that takes him and his loved ones on a nightmarish journey far beyond the realm of anything he could have ever imagined. Bill has to untangle himself from a web of deceit and corruption or risk losing his career, his family, and his life.

Perfect for fans of Joseph Finder and Dennis Lehane


“Mark Rubinstein’s A Lethal Question is a brutal story of gangland wars and innocents caught in the crossfire. It’s also a version of The Sopranos on steroids, a tale of a confession that unravels into murder and chaos. Don’t miss this throat-clutching story of suspense and intrigue. You won’t be disappointed.” —James Rollins, New York Times best-selling author

A Lethal Question is a fast, fun, and frenetic tale that blends the best elements of a psychological thriller with an action one. The latest from Mark Rubinstein, a renowned psychiatrist himself, fashions a nightmare scenario in which his literary doppelgänger finds himself on the run from all manner of Albanian mobsters. A harrowing, existential journey that is not to be missed.”—Jon Land, USA Today best-selling author

“Fans of The Sopranos will love this fast-paced thriller, a tale of an everyday guy who just wants to protect himself and his family. Loved the explosive end!” —Lisa Gardner, New York Times best-selling author

“In A Lethal Question, the classic innocent-man-on-the-run theme receives a fascinating psychological twist in this tense, fast chase across the highs and lows of New York City.” —David Morrell, New York Times best-selling author

“The action is grounded and gritty . . . A Lethal Question moves at breakneck speed.” —Foreword Reviews

Praise for Mark Rubinstein

Downfall is a compelling psychological thriller enriched with a superb (eighties New York) sense of time and place. A page-turner that doesn’t sacrifice depth of understanding of the human condition.” —Jonathan Kellerman, New York Times best-selling author

Downfall is a very classy and gripping high-octane thriller—I could not put it down.” —Peter James, best-selling author

“Tense and suspenseful, this mystery is deepened by its exploration of grief and family dynamics. Surprising and poignant.” —Meg Gardiner, Edgar Award-winning author

“Mark Rubinstein’s Downfall is a harrowing murder-mystery wrapped in an enigma. It's whip-smart and crackling-paced. Part medical thriller, part detective story, but ultimately a heart-wrenching story of the fallibility of memory and how past trauma haunts a life. Treat yourself to this story today.” —James Rollins, New York Times best-selling author

“Rubinstein’s Downfall is a psychological killer—a smart, intricate, page-turner.” —Reed Farrel Coleman, New York Times best-selling author

Downfall is a psychological thriller par excellence that follows one man's personal descent into a deconstructive hell. Mark Rubinstein hits the bull's-eye dead center in a scintillating stunner of a tale destined to place him alongside the likes of Joseph Finder, Harlan Coben and Lisa Gardner. Downfall reads like a post-modern equivalent of the John D. MacDonald classic Cape Fear, pushing its characters to the brink while pushing readers to finish it in one sitting.”—Jon Land, USA Today best-selling author

* “Part psychological thriller and part police procedural, this novel reads like a TV series worth recording so as not to miss an episode.” —Library Journal (Starred Review)

“An extraordinary thriller which begs to be read in a single setting.” —Jon Land’s The Thrill List

“[In Downfall],Rubinstein makes Rick a well-rounded and plausible lead, and the action builds to a satisfying ending.” —Publishers Weekly

“A riveting suspense thriller of a crime novel, Downfall is another compelling novel from the pen of author Mark Rubinstein.” —Midwest Book Review