Lehane had visited it in the Blizzard of 1978 as a child with his uncle and family. Lehane was inspired by the hospital and grounds on Long Island in Boston Harbor for the model of the hospital and island. He also structured the book to be "more taut" than his previous book, Mystic River. His intent was to write the main characters in a position where they would lack 20th-century resources such as radio communications.
He described the novel as a hybrid of the works of the Brontë sisters and the 1956 film Invasion of the Body Snatchers. Lehane has said he sought to write a novel that would be an homage to Gothic settings, B movies, and pulp. Marshal who goes to an isolated hospital for the criminally insane to investigate the disappearance of a patient who is a multiple murderer.
Shutter Island is a novel by American writer Dennis Lehane, published by HarperCollins in April 2003.
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