Shots of a woman's cleavage can be seen but not of sexual nature. She is leaning downwards to peer under the kitchen sink.

Period Blood is shown in one of the girl's undergarments when she's sleeping.

Blood is shown flowing down the ghost's legs through skirt for a fraction of seconds in a scene.

A girl is seen with bruises on her arms, heavily implying that she is being physically abused.

An abusive stepmother forcibly removes a young girl from her bed and throws her into a closet, locking her in.

A woman at a dinner table starts convulsing before she falls on the floor and starts thrashing in a violent seizure.

R violence type: blood and brutal.

A young girl snaps a bird's neck.

A woman is attempting to throw a cement sculpture onto a helpless young girls' face as she lays on the floor, but as she is about to, the camera pulls away and the audience sees nothing, but next we see the girls' corner of the girl's forehead full of blood and the cement sculpture in pieces, indicating that it happened offscreen.

One use of 'hell'

Characters are shown casually drinking wine with their dinner.

Use of medication is a key plot detail.

At least one character spends the majority of her scenes in varying degrees of terror.

A terrified young girl gets locked up into a closet; we hear her scream and cry hysterically.

A woman has a seizure; we see her screaming horrifically and then she vomits.

There are several "jump" scenes, and the majority of the movie has a disturbing, frightening tone. The most frightening scenes-- and there are plenty --are quite intense. Disturbing images and scenes abound.