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So far, four of her novels (Out, Grotesque, Real World, and The Goddess Chronicle, the last of which was written for the Canongate Myth Series) have been translated into English, with Out being the first. A further novel, In is scheduled for publication in 2013.

Significance of Title – Kirino explains that the title Out has many meanings attached to it—out as in “off the path” or “exit,” out as in “no good,” and out as in “outside.” She believes there is “a certain kind of freedom in being completely ‘out.’ If you go out one exit, there's another door, and if you open that, you don't know what awaits you" When asked about the broken bonds in the story, the author says she believes there is no such thing as society and that we are essentially solitary creatures. This becomes clear when people unconsciously release their true nature by committing deviant acts. The book's title clearly conveys the experience of being on the out-side of social groups.

Many critics challenged and criticized Kirino for her storylines, especially for Out, by saying women should only be writing love stories. In fact, one male radio host refused to talk with her because of the fact she wrote about a husband being murdered by his own wife. However, her fiction has been mirrored by reality with an increasing number of bizarre murders in Japan such as the woman who in 2007 murdered her husband, dismembered his body, and dumped the parts across Tokyo.

In a 2003 interview with JapanReview.net, Kirino revealed the inspiration behind her dark themes and fast-moving plots. When asked what motivates her to write, Kirino said: “I am the type of person who always wants to be straightforward in dealing with my emotions, and my way of life, and my will. Because I am a complicated person, I can't otherwise work or live on a day-to-day basis in any sort of healthy manner.” As for the methodology behind her writing, if it is a piece that is to be read in one sitting, she quickly bores into the theme of the work; if it is serialized, then she engulfs herself in the information before splitting it into blocks. Kirino said that she considers herself a “deviant” writer who does not fit into a simple category. Her main motivation to write is to “observe the fabric of human relationships.”

Reception - Out had an initial print run of 500,000 in Japan. Although Kirino received much criticism for her gruesome and disturbing scenes, Out sold a significantly large number of copies, won the Mystery Writers of Japan Award, and was even made into a film directed by Hideyuki Hirayama, which was released in 2002. According to Variety, New Line Cinema has purchased the rights for an American version, to be directed by Hideo Nakata.

She is most famous for her 1997 novel, Out, which received the Mystery Writers of Japan Award, Japan's top mystery award, and was a finalist (in English translation) for the 2004 Edgar Award. In addition, Kirino received the 1993 Edogawa Rampo Prize for mystery fiction for her debut novel, Kao ni Furikakaru Ame (Rain Falling on My Face), and the 1999 Naoki Prize for her novel Yawarakana hoho (Soft Cheeks).

Kirino began her writing career in 1984 when she first started off composing novels in the romantic genre. However, these types of novels were not popular in Japan, so she found it difficult to make a living while writing them. She also did not have a passion for writing romance novels and wanted to concentrate on works focusing on the psychological aspect of crimes. She then turned her focus towards writing mystery novels in the early 1990s. To date, she has written several short story collections and many novels, and is now one of Japan's most popular writers.

Kirino is the middle child of three. She has two brothers, one who is six years older and one who is five years younger. Her father was an architect. Kirino has lived in many different cities, including her current residence, Tokyo. Kirino married in 1975 and had a daughter in 1981.

She earned a law degree in 1974 from Seikei University, and she dabbled in many fields of work before settling on being a writer. For example, not knowing what she wanted to do in life, Kirino began working at the Iwanami Hall movie theater in her early twenties. She soon discovered it wasn't right for her and just before her thirtieth birthday she started taking scriptwriting classes. It wasn't until she was in her thirties that she began to seriously think about becoming a writer, and it wasn't until her forties that she became popular as a writer.

Natsuo Kirino (桐野 夏生 , Kirino Natsuo) (born October 7, 1951, in Kanazawa, Ishikawa Prefecture) is the pen name of Mariko Hashioka, a Japanese novelist and a leading figure in the recent boom of female writers of Japanese detective fiction.