Insanity is a man, because that's the gender most people I know will say drives them insane. When the girl is talking to Mr. Insanity, she asks 'Who knew that you'd be my clarity?'. Mr. Insanity is the boy who broke her heart, and therefore sending her into a spiraling depression. That means that he's the one responsible for teaching her that people really do hide sadness behind a smile, and no one will truly see behind it.

Death is a woman because, of the way the girl thinks of Death. Death is like a friend to her, giving her release. She says 'Who knew you'd make me happy during my final rest?' as the question for that stanza. Death is the friend that you don't know much, but has a kind enough heart to help, and she wants to get more acquainted with, because she feels happier and happier with her.

Mr. Heart is, once again, a man. He is what you could call 'the enemy of Insanity'. Insanity broke her, and gave her realization of the bad things. Heart is trying to help the girl, and give her hope. He tries pointing out all the good things to happen to the girl. The girl however, was so hurt by Insanity, and so happy with Death, that she didn't want to listen to Heart, and tried to get him to shut up or give in. "How long will it take you to fall apart?"

Blade is a woman. Mrs. Blade is 'the new girlfriend' of Insanity. She's always trying to show off, and pushes the girl around with her power. The girl is too depressed to feel Jealousy just yet, so she's submissive and does whatever Blade tells her. Hence her line, 'Why do you always make me cave?'.

Mr. Memories is 'the cousin' to Insanity, and the next man she goes for.  Memories shows her things, but it isn't new to her unlike Insanity. Memories shows her how happy she was, and then leads up to current events of hurt and rejection. He has the same goal as Insanity, just with less sting. Nonetheless, he still breaks her heart and sends her to a spiraling depression. "Why did you add to the painful casualties?"

Mrs. Plants is the person she regrets telling her situation. She says 'Why did I even give you a glance?', because she wishes she never did. As you may have been able to tell, Mrs. Plants is drugs, or the person that gets you into drugs. She saw the girl alone and sad after her encounter with Memories, and hunted her, believing she was doing a good thing that would benefit the girl emotionally, and Plants financially.

Mr. Jealousy. Unlike most stories where Jealousy would be described as a woman, I have chosen Jealousy as a man. The girl is recovering from being weak, a different mindset coming about her. "How'd you give me strength as I looked at this reality?" What she means by strength is anger, and adrenaline. When these two combine, a strength is created, and people do things they normally wouldn't or couldn't do. Just like a fighting man, her chest puffs out, and violence feels to be the only answer.

Last, but not least, Mrs. Suicide. Here's something I didn't even really expect until I was finished; Mrs. Suicide is the girl's mother. Suicide is the last choice, but that's because it was always there for the girl to choose. In the end, the girl decides she needs love and comfort, and falls into Mrs. 'Mother' Suicide's arms. "It is you that I now decide."