To me this song is about not being able to conquer personal demons. Racking yourself with guilt, shame, embarrassment or whatever, and letting it eat away at you while you try to find a way to absolve yourself. At the same time, not being able to let go and letting your "madness" take over. Ultimately leading down the "coward's path" (suicide) because it's often referred to as the easy way out.
To me this song is about not being able to conquer personal demons. Racking yourself with guilt, shame, embarrassment or whatever, and letting it eat away at you while you try to find a way to absolve yourself. At the same time, not being able to let go and letting your "madness" take over. Ultimately leading down the "coward's path" (suicide) because it's often referred to as the easy way out.