The movie's main theme is a moral choice between getting away with a crime or saving someone's life; to the hero, the choice is obvious. Also, despite its dark edge and thriller plot, the movie has quite a bit to say about violence and bullying. It also talks about the direst consequences of cigarette smoking (lung cancer).
Guns and shooting, with characters getting shot and killed. Brutal fighting, punching, bloody face, slamming up against wall, choking, strangling, biting. Teen knocked unconscious. Activated fire extinguisher dropped on someone. Teen smacked in face with plastic video game controller. Falls into a deep hole; painful injuries. Plastic bag on head. Attacking with rake, hurling rake handle like a spear. One character urinates on another. A character is dying of lung cancer. Rampaging temper tantrum. Strong bullying throughout.
Pinup picture of topless woman hanging on a wall. A teen girl is said to "give head for $20."
Extremely strong, frequent language includes "f--k," "s--t" (and "shiznit"), "a--hole," "p---y," "bitch/son of a bitch," "damn," "goddamn," and "balls," plus "Jesus" and "thank God."
Teen party with drinking and cigarette smoking. Teen smokes cigarettes in several scenes. Younger teen tries pot, coughs violently. Character dying of lung cancer from secondhand smoke. An unseen character died of lung cancer from smoking.