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How do I escape from the Asylum, when the chasing starts?

You need to collect the ritual components as well as one additional task. Check the upper right hand corner, it will show you what to do next

cool concept but nothing triggered for me and all I was able to locate were 2 papers with lore. no keys, spooks or anything else was interactable despite half an hour of clicking everything from forks to the random lockers that are around. 

Keys are hidden slightly, but were not impossible to find, and play testing sessions were successful in completing the game, so its possible you just may have missed the remaining keys.