"A Silent Voice" is profoundly sad due to its exploration of themes such as bullying, isolation, and redemption. The story follows Shoya, who bullies a deaf girl, Shoko, during childhood, leading to severe consequences for both. As Shoya grapples with guilt and seeks forgiveness, the film delves into the emotional scars left by bullying and the struggle for connection and understanding. The portrayal of mental health issues, depression, and the longing for acceptance amplifies the emotional weight, making it a poignant reflection on the impacts of one’s actions and the quest for atonement.

In "A Silent Voice," Shoya Ishida and Shōko Nishimiya do not end up together romantically. The film focuses on themes of bullying, redemption, and personal growth as Shoya seeks to make amends for his past behavior towards Shōko, who is deaf. By the end, they share a deep understanding and connection, but their relationship evolves into a meaningful friendship rather than a romantic one. The conclusion emphasizes healing and the importance of communication, leaving their future open-ended.

As of October 2023, "A Silent Voice" is not available on Netflix in most regions. However, availability can vary by country, and titles may change over time. It's advisable to check your local Netflix library or consider other streaming platforms like Hulu, Amazon Prime Video, or rent it from services like Google Play or iTunes to see if it's available. Always verify current listings, as streaming rights can change frequently.

In "A Silent Voice," the primary mental illness depicted is social anxiety disorder, particularly as it relates to bullying and social interactions. The protagonist, Shoya Ishida, experiences intense feelings of guilt and isolation after bullying a deaf girl, Shoko Nishimiya. His struggles with anxiety and depression manifest through withdrawal from social situations and difficulty forming connections. The film sensitively explores the impact of these mental health issues on both the bully and the victim, highlighting themes of redemption and the importance of communication.