Under the Knife
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This is the song I'm too scared to write
The artist is admitting their fear of writing a song discussing a sensitive topic. They also acknowledge that the song may be necessary for some listeners.

Oh there you were, heart made of glass
The person being addressed is identified as someone with a delicate emotional state that is easily broken.

Fragile little thing, shattered too fast
The fragility of the person and their emotional state is emphasized. The singer acknowledges that the person's shattering was not their fault.

Tried to pick the pieces up up up
The person made an attempt to recover from their emotional pain.

And that's the way you first got cut cut cut
Despite their attempts to recover, the person was left with emotional scars as a result of their experience.

Devil drew you in, you didn't let it show
The person was struggling with internal demons that were not easily visible to others.

Didn't want the others to ever have to know
The person made an effort to hide their struggles from others, possibly out of shame or fear of judgment.

That you were getting hooked on up up up
The person was becoming addicted to a harmful coping mechanism.

And all you had to do was cut cut cut
The addiction was to self-harm, specifically cutting.

You carved a special place for your pain
The person found a way to purposefully inflict pain on themselves as a way of coping with emotional pain.

So it came back to hurt you every night
The person's self-harm habit became a cycle that perpetuated their emotional pain, making it difficult to escape.

You closed your eyes and wished it all away
The person was struggling to escape their emotional pain and sought refuge in dissociation.

Until you disappeared under the knife
The person found that self-harm was not an effective solution to their pain and instead became trapped in their own destructive cycle.

Listen- I know it's simplified from the other side
The artist is acknowledging that it may be difficult for others to understand the complexity of self-harm and addiction from an outside perspective.

It's easy to gloss over all the messy reasons why
The artist recognizes that it can be tempting to oversimplify the reasons behind a person's self-harm habit.

And it's easy to forget where you've been
It can be difficult to remember what it's like to experience the emotional turmoil that drives a person to self-harm once you've moved past that stage in your life.

When we were 15 we wouldn't dare let that shit be seen
Stigma surrounding mental health and self-harm can make it difficult for young people to seek help or share their struggles with others.

But now it seems mutalation's gone mainstream
The artist is commenting on the fact that self-harm has become more visible in the media and in popular culture.

I see you at my shows, scarred up from head to toe
The artist is speaking directly to fans who may be struggling with self-harm and acknowledging that it is a common issue.

Like there's no point even trying not to let it show
The artist acknowledges that hiding self-harm can feel futile and that it can be difficult to go against the urge to self-harm.

Cause we all know, emo kids like to hurt themselves
The artist is referencing the stereotype that people who dress in a certain style or listen to certain music are more likely to self-harm.

Too many feelings and not enough self control
The artist suggests that emotional intensity can be a contributing factor to self-harm and that it can be difficult to regulate emotions in a healthy way.

And I mean, does this mess any of the rest of you
The artist is questioning whether others are bothered by the normalization of self-harm and the stereotypes surrounding it.

It's an epidemic and we're cool with it, don't question it
The artist is criticizing the apathy and lack of concern surrounding the issue of self-harm among young people.

But it bothers me, our scars are currency by which we're measured
The artist is critical of the societal pressure to prove one's emotional pain through visible scars and is disturbed by the fact that people may feel the need to harm themselves in order to be taken seriously.

Like let the record show who let it slip and who held it together
The artist is commenting on the idea that emotional distress can be seen as either a weakness or a strength depending on how a person handles it.

Cutters and burners and honorable mentions
The artist is referencing different methods of self-harm and acknowledging that it takes many forms.

Posers who still cut themselves up for the attention
The artist is commenting on the idea that some people may self-harm for attention rather than as a genuine coping mechanism.

I don't care your intentions, I just want you to know
The artist is emphasizing that regardless of a person's motivations for self-harming, it is a harmful behavior that deserves attention and care.

My self-hatred never took me where I wanted to go
The artist is sharing personal experience to underscore the fact that self-harm is not an effective or healthy coping mechanism, even though it may feel like the only option in the moment.

And at the end of the day, you know I still had to face
The artist is emphasizing that even though self-harm may provide temporary relief, it does not ultimately solve the underlying issue that is causing the emotional pain.

That I can pick at the pain, but can't cut it away
The artist is acknowledging that while they can try to cope with their emotional pain, they can't simply cut it out of their life.

And you know what else I can't do is give you ten good reasons not to
The artist is acknowledging that there is no easy solution to self-harm and that it may be difficult for a person to stop once they've started.

I've racked my brain for clever sayings of all the things you ought to do
The artist is acknowledging that sometimes people may try to help a person who self-harms by giving them advice, but that advice is not always helpful.

But you know, I think if there was something I could say
Despite the difficulty of finding helpful solutions, the artist still wants to try to offer hope or support to those who are struggling with self-harm.

They'd have thrown it on a brochure- and sent you on your way
The artist is recognizing that there are many resources available to people who self-harm, but that these resources are often reduced to simple slogans or messages that may not address the individual's unique situation.

So I'll keep doing what I always do: drag my heart to the piano and make it sing for you
The artist is promising to continue using their music as a way to connect with and support others who may be struggling with self-harm or other emotional issues.

I'll keep doing what I always do: drag my heart to the piano and let it sing for you
The artist reiterates their commitment to creating music that is honest, heartfelt, and speaks to the experiences of those who may be struggling with self-harm or other emotional issues.