An unconscious teenage girl is raped on a piano.

several members of a family are severely beaten with a shovel

A man gets his head blown off by a shotgun point-blank

Two characters are alcoholics and are seen drinking frequently

Cigarette smoking

Girl is a heroin addict and is seen using and buying many times

This movie can really seem bizzare for some viewers, and has a bunch of pretty intense and/or freightening scenes for some young watchers. There are some gruesome deaths and the overall ambience feels uncomfortable.