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Seventeen-year-old Trey Barrow has lost everything—his home, his family, and possibly his mind. Pursued by a threat that only he can hear or see, it’s getting harder for Trey to decide which of his experiences is more terrifying: the “real” world, where he woke up restrained to a bed in a psychiatric hospital, or the “fantasy” world where he’s being hunted by a death-dealing shadow from the spirit realm.

Then he meets fellow patient Pearl Parker, a streetwise mystery who starts hospital riot...