While generally categorised as fiction, the book draws heavily on Pinto's upbringing as a Goan Catholic in Mumbai, and his family's struggle with his own mother's bipolar disorder. The non-linear storyline chronicles the life of the family, from the early lives of Imelda and Augustine (known by their children as 'Em' and 'The Big Hoom') to the family's chaotic struggle with Em's bipolar disorder, her euphoric flamboyance, strange charm, and paranoid attempts at suicide. The foundation of the book is built on the unusual relationships within the Mendes family: Imelda, Augustine, their daughter Susan, and their unnamed son from whose perspective the book is narrated. The book won The Hindu Literary Prize, the Crossword Book Award, the Sahitya Akademi Award, and the Windham–Campbell Literature Prize. Em and the Big Hoom is a 2012 English-language novel written by Jerry Pinto.
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