This is yet another song Paul Westerberg wrote about suicide. The band received a lot of flak because the song's release was around the same time a group of new Jersey teens took part in a suicide pact. Westerberg angrily defended the song, stating that it wasn't some cynical attempt to cash in on a tragedy, but more of an expression of empathy for the type of person that would consider such a desperate act. Suicide is one of his most frequent subjects and he has been treated for chronic depression in the past.
The fading scream heard at the end of the song is one of the most chilling rock moments ever, as the listener realizes the subject of the song carried out his intentions.
Suggestion credit: John - Levittown, NY, for above 2