A study of several deaths in Kentucky by Russian Roulette, a game played when you're out of your mind and literally ends the same way.
In one situation, a 22-year-old African American man used a 0.22 caliber revolver in a game with a friend. Each participant pulled the trigger on two occasions; the victim discharged the fatal bullet on his third attempt. [...] Four of the victims had pulled the trigger at least 3 times before their fatality.
At least three times! There's a weird interplay of recklessness and determination going on here.