Unfortunately the film opens with full frontal nudity... not just a glimpse ... you can see EVERYTHING for quite a while. There's also lots of drunkenness, drug use, language, etc. As an adult, I found the plot to be interesting and very different from the average thriller. The story was a realistic depiction of a tragic situation. If it wasn't for the nudity, I'd probably overlook some of the other stuff and let my older teens watch it so they can see the damage that drugs and alcohol does. But, as it is, the "R" rating is correct, and I'd say leave this for those that are 18+.