whats my movie

whats the movie with a brother and sister that took place in a mental  hospital or something similar the girl was walking around with a shot gun looking for a man . one part they were hiding under the hospital bed. the girl was getting pulled into heaven i think but the brother pulled  her back down and the number 43 (i think) was carved in his head the they were pulled into hell while they were being pulled down i THINK they were hugging and laughing hope this is enough info i was like 5-6 when i saw it and i think it was a 80-90s movie i think all or at least majority of characters were white. oh and i know a sence or two was in a cemetary

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