Some believe this to be based on a true story. However, it's been more or less confirmed as a fictional tale. Partly Inspired by Gottfried Helnwein's artwork. Who is famous for his emotional imagery-Especially of children(in fact, Michael used his Lichtkind(Child of Light) painting to depict this song on The History Vol. 1 Booklet).
In this tragic tale, Little Susie took her own life because of gross indifference to her well-being. One by one, her folks passed away. Father abandoned them, leaving mother and gram-father to wither in the grave.
Years later, she was grafted into an unloving family. Though she was adopted, they did not take her in. Loneliness seeped it's cold dead fingers upon her tender heart. Until she couldn't bear it much longer. Although it was technically an accident. She subconsciously threw herself down the stairs to escape the pain.
Although the story is clearly fictitious, Michael was proving a point. "Neglect can kill. Like a knife …
