This precedent appears to have been set when the BBFC granted 18 certificates for films containing short scenes of unsimulated sex, such as Catherine Breillat's Romance (1999) and Patrice Chéreau's Intimacy (2001).
In October 2004, a new precedent appeared to be set when the BBFC granted an 18 certificate for Michael Winterbottom's film 9 Songs, which featured a number of lengthy explicit scenes of unsimulated sex.
This means there continues to be a form of artistic merit test requiring the work to be judged non-pornographic and the scenes in question "exceptionally justified by context" for a mainstream release.
The main difference between this new policy and previous years' policies is that contextual justification for images of real sex is no longer irrelevant if the primary purpose of the work is sexual arousal or stimulation; instead, it merely reduces the amount of justification that context can provide.
In a sex work, any explicit and non-obscured sight of vaginal or anal penetration by any object whatsoever; any contact between the lips or tongue and genital/anal area; and ejaculation usually requires an R18 certificate.
This led to a moral panic concerning "video nasties" as coined by tabloid newspapers.
Current concerns include content such as "any detailed portrayal of violent or dangerous acts which is likely to promote the activity", and sexualised violence.
Less than a month later, Takashi Miike's Ichi the Killer had to be cut by three minutes and twenty-five seconds due to sexual violence.
[7] References or scenes of suicide or dangerous stunts, which can be easily imitated by youth, can lead to a DVD being given an 18 certificate.
Volume 3 of the anime Paranoia Agent (which is normally rated 12 or 15) is rated 18 because of suicide references and violence, mostly in the episode "Happy Family Planning", which made light of suicide and featured a scene of someone pretending to hang himself, a scene which was edited by the BBFC until the series was released uncut on Blu-ray in 2021.
An episode of House titled "Under My Skin" became the first and only one to be passed with an 18 certificate due to scenes depicting a suicide technique that can easily be imitated in real life.