Lyric discussion by shikonaori 

Cover art for Scream lyrics by Michael Jackson

I think, even though it's most likely about the industry and such, that it could also apply to things such as dishonesty between the people you thought were your friends. Everything is falling down and it's all one big confusing mess, pressuring you to the point of insanity...? Eh, that's what it applies to in my case.. >_>