Absolutely nothing!

Kayla nipples showing from her shirt

Multiple instances of characters self-torturing

Many scenes with injuries resulting in severe bloodloss

A man cuts his arm open with a knife, blood pours and spurts from the wound

The word 'fuck' is used throughout the movie

The word bitch is used, but mainly for comedic affect

Beer bottles are opened and consumed in the beginning of the film.

Daughter distributes pharmaceuticals to her mother more than once.

A table contains a drug bag with visible powder, and a still burning pipe and foil (both used for freebasing illegal narcotics) can be seen next to the mom as she mourns.

The mother's drug dealer is always around and in one scene has a baggie in hand with visible powder in it.