Heart of America (2002)

Two teenagers make out. The male mentions wanting to "be inside" the female.

A high school student is pregnant.

Some high school students relate a story of them raping a mentally challenged girl.

A male student tells his girlfriend that he cheated on her.

We see two teenagers having sex (non-graphic).

We see a school shooting in progress. I student chases another with a handgun and shoots him offscreen. The shooter then drags him across the floor, leaving a streak of blood, before shooting another victim offscreen. The scene is rendered in grey scale.

Some bullies beat up two teenagers.

A little kid says imitates his parents, saying "hell", "shit", and "ass" multiple times.

Multiple uses of the "F"-word, including by high school students and by a father to his teenage son.

Multiple uses of the "S"-word, including by a son to his mother and a teacher to a student.

"asshole"

A father calls his son a "pussy".

Some teenagers smoke.

A high school student mentions being hooked on prescription drugs.

A high school student sells drugs to another.

A teacher mentions that he takes Xanax.

A high school student smokes some kind of drug by heating it with a lighter in a pan and inhaling it through a tube. We later see her having a trip.

Some high school students drink beer.