Izumi's daughter see's Izumi hanging herself.
Karou has two seizures. He is OK though.
Karou slaps his wife across the face, they have a physical fight. She kicks him then he slaps her again then they grab at each others hair.
Karou and Izumi have a second physical fight similar to the first.
Karou and Izumi have a disturbing conversation about if Izumi would be ever able to kill anyone. Izumi then takes a knife and cuts her toe off. (it is not seen but you hear a squishing sound.) You then see the severed toe.
Karou and Izumi have a third fight. He slaps he then he starts kicking her while standing on the bed. Izumi is pregnant. But the baby is OK.
Karou has a temper tantrum and throws a flower pot.
SPOILER Karou has a third seizure however, this time, he is not OK and dies from it.SPOILER
Later you see Izumi hanging herself again.