A sex scene between a male and a female isn't graphic, just has moaning, thrusting, brief breast glimpse, and shows clothing being taken off

There is self-harm shown frequently, but not excessively

An ice-skater's blade on her skate goes into her foot. Nothing severe is shown, but it's bloody and the girl cries out in pain

A main character bites herself, it's a little graphic

The profanity in this is severe. Frequent uses of f*ck, b*tch, sh*t, and c*nt is used.

Frequent use of alcohol, pill usage, selling pills.

Rated R for abuse, language and thematic material