Lyric discussion by JJKelsall 

SIOUXSIE: "It's about the cruelty of children and that whole aspect of being thrown out into the playground in the winter in howling gales and left to fend for your-selves. It's not the sort of thing you're supposed to write pop songs about." Source: The Authorised Biography 2002

But as Siouxsie mentions to fend of people who think the band are dark and depressing.

"I suppose ‘Playground Twist', is quite happy at the end, because the baddies are swinging in the gallows." Source: Sounds 20/06/81

Kind of an uplifting song to listen to if you ever find yourself being bullied.

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