Lampshaded by the preceding image showing the situation in David's first person.
It's the only one of the three options that does work. One of the options is punching him choose this option and Paul will punch David repeatedly until it works.
Beat the Curse Out of Him: When playing as Paul, you are given three options on what to do when you find David possessed by the Crooked Man and about to shoot himself.
They do have a use, however, as they contain subtle clues to keep you alive when you have to choose how to respond to the other characters.
Apocalyptic Log: Significantly more downplayed compared to other examples, but the various notebook sheets scattered throughout the locations are the remains of Duke's journal, detailing his miserable life.
And Now for Someone Completely Different: For one short chapter later in the game, you play as David's friend Paul.
How would Paul know such things? Having a "sixth sense" of sorts helps.
After-Action Villain Analysis: Paul ends up explaining what the motives of the Crooked Man are.
Fluffy being lost and seemly abandoned.
Paul finds himself in the situation of having to stop his best friend from killing himself.
David getting screamed at by his usually kind mother, who doesn't recognize him at all, will feel like an emotional punch for anyone who's ever had a loved one suffer from Alzheimer's.
Abandoned Hospital: The third and final, if the players gets the 3rd or 4th Bad Ending section of the game takes place in one.