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It looks like he is expressing his frustration and dissolusionment with his experience of, or place in, the world/society. In particular, feeling the impotence of his masculinity and themes of isolation, loneliness and being an outsider or misfit.
It is written in an apparent 'stream of consciousness'. Not a very well put together verse...
You probably know enough about his public persona to disect this a lot more intimately. Just think - this guy was talented enough in some way to become successful in an exceptionally difficult and fickle industry, and troubled enough to kil himself at the same time...
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