Jane Odair's poem is about despair and isolation, told through a refrain that repeats at the end of every stanza: "But no one comes." The speaker cries out for help again and again, and each time the silence is the only reply. The opening image of "red sight" and a fallen needle is dark and ambiguous. It suggests something violent or self-destructive has just happened, though the poem never says exactly what.
The feelings build as it goes. In the second stanza the speaker is in raw physical distress, crying and tearing out their hair, almost wanting pain as proof they are still alive. By the third, they are praying to be taken away, too tired to carry on. There's a painful contradiction in that: they beg for death, yet keep screaming for help.
The mood is bleak, desperate and claustrophobic. The short, repeating lines make it feel like a loop the speaker can't escape. Because this poem deals with self-harm and suicidal thoughts, it may be a hard one to read.