Lyric discussion by goonmoon 

I believe the lyrics refer to how E's sister had to write down 'I am okay' 100 times while she was in a mental hospital. eventually she just wrote 'i am not okay' and E used it. Really sad song.

If you read 'things the grandchildren should know' He says it is about how he found all the writings from his sister after she committed suicide as you said.

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