I thought it was pretty clearly explained in the final scenes with the girlfriend, with the guy from the farm and the woman cop also.
Here is what I remember and what I make of it :
SPOILER ************************ SPOILER ************************
--- Was his dad (who was killed) violent or sexually abusive with him? => violent ? yes. Sexually abusive no.
--- Did Sam or Nick kill the dad? => Sam.
--- Was Nick at all sexually abusive to Sam before they escaped or what ? => Yes and No, it was consensual.
--- Was Nick guilty of anything other than running away with Sam? => No.
At first we are led to believe that Nick killed Sam's father, burned the house, kidnapped him and was sexually abusing him.
But as the story develops, you realize that it's weird, and more complicated than that.
What happened I think is that his dad was extremely violent with him, leading to the point of Sam killing him on night (no evidence of the dad being sexually abusing to him though).
Sam then goes find Nick for help.
Nick knows the dad deserved it, and doesn't want Sam to be accused of the killing, he wants to help him, so he burns the house and run off with him.
That's basically the all story.
It turns out that Sam was very fond of Nick. It is very clear in the dialogue with the cop that Sam is devastated when she tells him that he didn't make it. He tries to hide it by going in the bathroom to cry. Also he never tries to escape when he's with him.
Nick is a pedophile, but not the monster we think of, there is no evidence of him forcing Sam to anything, and the hospital scene shows there is no physical sign of sexual abuse.
Sam is in love with him, as revealed in the scene with his supposed girlfriend, and Sam is also very jealous when Nick sleeps with the Motel girl, that's why he goes tell her bad things about him. That's why Nick slaps him, because his stupid jealousy showdown put them in danger.
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