So I've compiled everyone's comments to make a conclusion that he's alone in the city, and no one cares about him in his city.
What's interesting is that cities are an often "go to place" to escape and drift away.
Also the beginning sentence and ending sentence are important. As one said in the comments that the knife represents loneliness, and beginning statement suggest he is afraid of the way he lives his life. So he's afraid of being alone
So I've compiled everyone's comments to make a conclusion that he's alone in the city, and no one cares about him in his city. What's interesting is that cities are an often "go to place" to escape and drift away.
Also the beginning sentence and ending sentence are important. As one said in the comments that the knife represents loneliness, and beginning statement suggest he is afraid of the way he lives his life. So he's afraid of being alone