It's Asano really trying to push the emotion of every thing we have seen from Aiko, every interaction that Punpun and Aiko had. The panel you see punpun looking at iko hanging in that I guess some sort of scrap yard of some sort, I don't really know the exact location of it.
Ive defeated with myself long enough where to start this and I've came to the conclusion that I should tell the ending from when you see aiko hang herself. Okay before we get into anything else we have to first address the ending of the manga.