It seems like there's an implied assumption that the veiled references to suicide mean TS planned suicide, which she might've, but it seems like an odd assumption given she's said this album is about things outside her experience. And no one seems to think "betty" was a veiled way of coming out, which was the first read that occurred to me. Of course, "James" might imply a male protag, but 1989 was the last year James was in the top 1000 AFAB names according to the SSA. Yes, I looked that up.