The speaker's friend has just said he is suicidal, and the speaker's first thought is "Not again," followed by a struggle to hold back tears. That small, honest flash of exhaustion sits beside real fear: the speaker knows how it would feel to lose someone and wonder whether they could have helped. The poem also turns inward. The speaker admits to being far from okay too, and feels almost like the unluckiest person alive.
Even so, the mood slowly shifts from heaviness to warmth. Out of all their friends, only two are truly okay, and both treat the speaker kindly without pretending everything is fine. The poem then speaks directly to one person, thanking them for giving reasons to smile and for saying that being alive is worth enjoying. It ends like a note left for someone to find: "Not okay is okay. I love you." The tone is raw, plain, and tender, and its message is that you can be struggling and still be loved.