The intro to Stacy Barthe's debut album, Becoming, this song finds her talking candidly about a failed suicide attempt in 2010. She explained to Billboard magazine: "As the song so clearly portrays, it was pills. I was 380 pounds at the time, feeling hopeless and my career wasn't going the way I thought it would. I was running out of money, trying to pay my rent and still pursue my dream. Dealing with all that frustration on top of already low self-esteem sent me spiraling."
"Suicide was always a recurring thought," Barthe continued. "I used to pretend to pass out to keep from going to school where I was always teased. But music was the one thing people liked me for."
Fall Out Boy's "The Kids Aren't Alright" song title is not a reference to The Offspring's 1998 single of the same name. It actually alludes to The Who's 1979 rockumentary film called The Kids Are Alright.