Suicide

At a few moments in the game, JJ receives phone calls from Emily that imply that Emily is thinking of suicide. She tells JJ that she has "red wings, blood red wings," and says things that JJ has a difficult time understanding, such as "Were we just born to have sex?" "When is something really real?" JJ becomes increasingly concerned and eventually tells Emily to not do anything rash.

When she reaches the top of the clock tower, JJ finds a suicide note written by herself, about the difficulties of being herself and how hard it is to handle the pressure she is feeling. She talks of her plans to put on "blood red wings that will let me fly far, far away."

She then encounters Emily, who has hung herself. JJ breaks down in tears, and receives a text message from FK, who has difficulty understanding her feelings. After snapping at FK, JJ hangs herself as well.

We then cut to "100 years later", where JJ has apparently survived the suicide attempt, and falls off the building, landing in Moosefoot College, her school.

Later, JJ believes herself to be dead, but a text message from FK tells her that she needs to "accept yourself" and "beat yourself" ("beat" referring to "conquer" or "defeat", instead of physical violence), and leads to her final confrontation with the hairshrieker, before she eventually encounters Deer Man, and is electrocuted. This causes her to wake up in the real world as Male-Presenting JJ, revealing that JJ actually attempted suicide by the use of a box cutter, and the entire game was a dream.