It's not a manga for the soft. So many TW would be listed on this one. It contains some nice comentary about how the japanese mental health system fails their people. But that point is obscured by the shock valuesque depictions that makes me wonder if this is either fetish content or the author wanted to harm the reader. Maybe both. The visuals are interesting, not moe styled or seinen type. Too bad the author decided to dedicate their art to tell this story.