There are multiple sex scenes. They are not very graphic, only breasts and buttocks are shown.

Izumi's daughter see's Izumi hanging herself.

Karou slaps his wife across the face, they have a physical fight. She kicks him then he slaps her again then they grab at each others hair.

Karou and Izumi have a second physical fight similar to the first.

Karou and Izumi have a disturbing conversation about if Izumi would be ever able to kill anyone. Izumi then takes a knife and cuts her toe off. (it is not seen but you hear a squishing sound.) You then see the severed toe.

Karou and Izumi have a third fight. He slaps he then he starts kicking her while standing on the bed. Izumi is pregnant. But the baby is OK.

Karou punches a man.

Later you see Izumi hanging herself again.

The word 'idiot' is used in Japanese.

Izumi comes home drunk and falls onto the bed.

Some alcohol can be seen.

Some smoking.

Izumi's daughter see's Izumi hanging herself.

Karou has two seizures. He is OK though.

Karou slaps his wife across the face, they have a physical fight. She kicks him then he slaps her again then they grab at each others hair.

Karou and Izumi have a second physical fight similar to the first.

Karou and Izumi have a disturbing conversation about if Izumi would be ever able to kill anyone. Izumi then takes a knife and cuts her toe off. (it is not seen but you hear a squishing sound.) You then see the severed toe.

Karou and Izumi have a third fight. He slaps he then he starts kicking her while standing on the bed. Izumi is pregnant. But the baby is OK.

Karou has a temper tantrum and throws a flower pot.

SPOILER Karou has a third seizure however, this time, he is not OK and dies from it.SPOILER

Later you see Izumi hanging herself again.