The Downward Spiral

I do think that hurt is like an epilogue. I used to think that hurt was qwhen he actually killed himself because of the loud climax at the end, but now, I'm not so sure. It definately makes sense that this is when he actually kills himself, the screaming in the background is like his screraming voice inside his head, he knows what he has to do, and he does it, and the screaming stops.