We've shared a lot of poems together, and I feel this is not your best work. Maybe the fact of reading it as a poem, when it is meant to be a song, is the problem. I think that lyrics to songs often get away with things that poetry cannot, which is dumb, since lyrics are a form of poetry.
Anyways, you asked me to be honest, so here goes.

This stanza:
"I know what it feels like
to be on the inside.
But now all I want is to die.
I felt my hands dig for my blood
one more time
and came up so empty"

^Very typical use of words. Often try to avoid the "inside" "die" "time" rhyming scheme. People on here consider that amature, and that there are words way more creative than those.

This stanza:
"The news was like old hat.
I knew this and I realized that.
But it still stung like I
had just HEARD it for THE FIRST TIME."

old hat? o.O I don't understand what that means.
Also, I know that you are trying to show the power and impact of the words in the last line, but it looks really funky. And actually sounds funky in my head. Since people are going to be reading this as a poem, you need to make it as a poem, so I would make those words lowercase.

This stanza:
"I felt my hands dig for my blood
one more time.
And felt as though i was crazy.
"I feel your pain I know I
was once on the outside
and never could
look in." "

^The format really needs to be changed. I read poems how the format is set up, and it sounds really funky like that.
This is how I'd prefer to read it:

"I felt my hands dig for my blood
one more time.
And felt as though i was crazy.
"I feel your pain.
I know I was once on the outside
and never could look in."

Just a suggestion. Everyone will read this differently. Also, you seem to have some uncapitolized "I's" lurking in there. You might want to change that. It bugs ALOT of people on here, including me. Those are my suggestions. Overall, not your best work, but it's not incredibly horrible.
4/5
LOVE YOU!
~Lace