I feel like this song’s about stars and celebrities today talking about their personal lives even if their reputations are getting damaged already. For example, “ti’l all my sleeves are stained red” is about their reputation and “Thought you saw me wink, no
I’ve been on the brink” this means that you feel like he/she is having fun saying all those things but she’s not, it’s just that she’s on the edge and its the only way that she can remain on the spotlight. He or She doesn’t want to disappear, they don’t have any family to blame. They don’t care about critics and reputations anymore, as long as they can get attention.