Why does Luca imprison Scarlett?

He blames her father for his father's death from medical malpractice.

What complicates Luca's plan?

His own heart develops an unbidden emotional pull toward her.

My World Ends with You

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My World Ends with You — Luca targets Scarlett in a mental hospital to avenge his father's death.

Luca confines Scarlett in a psychiatric facility to punish her father for alleged malpractice, yet his growing emotional attachment threatens his resolve.

Quick answers

Why does Luca imprison Scarlett?: He blames her father for his father's death from medical malpractice.
What complicates Luca's plan?: His own heart develops an unbidden emotional pull toward her.