[3] A film adaptation, directed by Anna Boden and Ryan Fleck, was released in the United States on October 8, 2010.

Consequently, his depression builds until, unable to fend off his suicidal ideation, he calls 1-800-SUICIDE and is admitted to a nearby psychiatric hospital.

He meets many other patients, some friendly, others reclusive or delusional, and is supported and encouraged by his family and school principal once they learn of his hospitalization.

During his recovery, Craig experiments with art, specifically stylized human figure maps, and discovers he has a great deal of natural talent and ability.

Kirkus Reviews stated that the novel addresses "the influence of peer pressure", and how depression recovery can be attributed to being oneself and "acceptance for who he is".

It was also met with critical applause from multiple publications including the New York Times, who described it as—"Insightful and utterly authentic...this is an important book.

Jennifer Brabander, an author in The Horn Book Magazine, stated, " A bulk of this novel (which is based in part on Vizzini's own experience) remains believable.

"[9] Brabander also agreed when she wrote, "Vizzini spent 5 days himself in a psychiatric hospital, which inspired him to write this book.

The film starred Keir Gilchrist as Craig, along with Zach Galifianakis, Emma Roberts, Zoë Kravitz, Viola Davis, and Lauren Graham.