This seems to be about suicide. I read an analysis somewhere that described it as some sort of cycle. Like, at the beginning, he is overcome by emptiness and attempts to kill himself, is saved, taken to a mental hospital and recuperates, only to fall back into his "hell" as it were and eventually try it again, most likely succeeding, as noted in the eerily cheerful final three lines in the song.
This seems to be about suicide. I read an analysis somewhere that described it as some sort of cycle. Like, at the beginning, he is overcome by emptiness and attempts to kill himself, is saved, taken to a mental hospital and recuperates, only to fall back into his "hell" as it were and eventually try it again, most likely succeeding, as noted in the eerily cheerful final three lines in the song.