Lyric discussion by bloodreactor 

Cover art for Fall Again lyrics by Professional Murder Music

Those are good points but I'm thinking it's about drugs. I know a lot of people say that about rock songs but This is what I see.

giving into drugs and experiencing the effects, running from problems with a high.

also seems like an arguing conscience over the choice. Or talking to a friend.

the blood on arm reference could be from shooting up.

Love PMM :D