Possible Meaning 1:
This song is about lead singer Jesse Lacey's fear that he will one day burn out or fall from grace.
Possible Meaning 2:
This song is basically about a guy raping a girl. She gets drunk and he has sex with her and he starts to feel bad because he knows what he's doing
(by 5 or 6 bring you out to the car)
(a sober straight face gets you out of your clothes)
(I almost feel sorry for what I'm going to do)
(you can sin or spend the night all alone)
It's also about someone who leads on a girl totally until the point where she doesn't even know who he is.
(I will lie awake. lie for fun and fake the way I hold you. let you fall for every empty word I say)