Keanu Reeves, as a serial killer who stalks and then kills young women with a piano wire, challenges a retired FBI agent (James Spader) into a deadly battle of wits. Also with Marisa Tomei, Ernie Hudson, Robert Cicchini, Chris Ellis and Jenny McShane. [1:33]

SEX/NUDITY 3 - Some sex talk and sexual innuendo. A man browses a Victoria's Secret catalogue and we see several photos of women in bras and panties. We see several charcoal and pencil drawings and sketches of naked women -- one shows full frontal nudity. A man kisses a terrified woman on the mouth, which is covered by duct tape.

VIOLENCE/GORE 7 - In different scenes, we see a man grabbing several women from behind, covering their mouths. In an extended scene we see a woman sitting on a chair with hands tied behind her back and duct tape on her mouth. A man picks the woman up and pretends to dance with her, while kissing her taped mouth. In a close-up we see her dangling feet smearing blood on the floor. In another scene, a man starts to strangle a woman with a piano wire (he stops as she's gasping for breath). We also see the man strangle two other women in a similar fashion -- these scenes are in silhouette. We see a dead woman lying on the floor; her throat has obviously been cut and she's lying in a pool of blood. In another shorter scene, we see another woman lying in a pool of blood. During a flashback shown several times we see a woman tied down while her house is on fire; we hear her scream, as it becomes evident (although we don't see it) that she is on fire. A man shoots a man in the chest with a shotgun; some blood is visible. A door is knocked down and a fire ball comes out engulfing several men and throwing them back. A man on fire jumps into a river. Another man rolls him over and we see a quick glimpse of his burned face. Several car chases, involving several car crashes. During one a man throws a lit lighter on gasoline spewing from damaged fuel pumps and causes a huge explosion. A police car rolls over and then blows up (we learn later that three policemen were killed). During two other chases men shoot at a speeding car. There are several foot chases: A man chases a woman through a deserted factory, and several men chase other men; during one chase a man is hit by a car (he doesn't seem seriously injured and we see this scene in flashback several times); during another chase a man jumps on another man and then holds him down by putting his foot on his back. A man shoots another man in the leg; a little blood is visible. A woman hits a man on the head with a boom box. A man hits another man on the head with a pistol, rendering him unconscious. A man stabs another man with what looks like a syringe or a pen (the scene is very indistinct). There are a few scuffles; a policeman grabs a man and shoves him into a wall several times. We see a man injecting himself in the bruised groin (presumably from previous injections). We see blood on a business card and a man washing his gloved, bloody hands.

LANGUAGE 8 - Close to 30 F-words, several scatological terms, a few anatomical terms, a few religious profanities and a religious exclamation, and several curses and insults.

SUBSTANCE USE - We see a man take an awful lot of prescription medications for insomnia, migraine headaches and anxiety attacks.

DISCUSSION TOPICS - Serial killers, obsession, the FBI, psychiatry, police brutality, anxiety and other prescription psychoactive medications, migraine headaches.

MESSAGE - Don't blame yourself for another person's misdeeds because you have failed to stop him.