Common Sense Note
Parents need to know that even though the R-rating is too harsh, brief but grotesque visuals let us know the filmmakers could do worse if they wanted to. Disturbing imagery includes a mutilated victim of a car collision and a deformed kid with a skull-like face. A suicide attempt figures in the ending. There is a theme of infanticide and dead children. Nothing is shown, but we get news of children causing a playmate's death, then being killed (by poison) themselves. An HIV-positive character is part of the plot, and it's pretty much given as a death sentence.
An old woman fatally mutilated after being struck by a car (tearing her jaws open grotesquely). A character's fingers caught in a slamming door, causing a fingernail to come off. A bloody leg injury. There is a theme of infanticide and dead children. Nothing is shown, but we get news of children causing a playmate's death, then being killed (by poison) themselves.
The F-word uttered once (in the Spanish-language, English-subtitled version).
Even the lonely ghosts turn out not to be "evil" (though they seem to be vengeful, and capable of causing harm). One, who is hideously deformed, turns out to be not as monstrous as his appearance. There is a sense of motherly heroics and parental sacrifice in the leading lady -- despite the mortal danger. Simon's maintenance troubles and restlessness as an adopted child might not set a positive tone in some foster households.
Drugs / Tobacco /
An intentional drug overdose (not for recreational purposes).