Parents need to know that this movie has some strong language, and characters abuse alcohol and drugs, including heroin and marijuana. There are references to the most severe domestic abuse. There are some fights, one resulting in mortal injury. A character attempts suicide. Another shoots his gun, though no one is injured. A character dies tragically. There are sexual references and a discreet sexual situation. A character's burn scars may be upsetting. Pre-teens and teens may be especially concerned by the violence that occurs at a school, despite the metal-detectors kids walk through as they enter.

Families can talk about the pay it forward idea. Would it work? What favors would family members like to do? Why is "routine" so important to Eugene? Why do we see him ironing his shirt twice in the movie? Why do we see Eugene sitting at a student's desk when he talks to Trevor? Why does Trevor say that "it has to be hard?" Families should also talk about Trevor's comment that the most important thing is watching people, paying attention to things they may not even know they need. Some families will also want to dicuss whether there is a religious allusion in the death of one character.