Flashback sequences show traumaed scuffles which are hard to discern.
A violent patient (male) attacks a female patient in a bathroom. She is shown as having been cut at the neck and her tongue appears to have been pulled out to remove it. Blood is seen on both patients. The male is restrained and cleaned up.
A woman cuts her throat with a fountain pen. Blood gushes from the cut mark.
A woman is seen eating intestines pulled out of a bloody man.
A male patient attacks a nurse. A male doctor injects him with a sedative.
An orderly struggles with a patient bearing a knife. The knife is slowly forced into the patient, who collapses.
A doctor operates on a woman gagged and strapped down. He is seen cutting her body and removing a piece of flesh. All at once he stabs her in the chest (to "end her suffering).
A man is pushed back onto a metal hook which penetrates his back.