Haha wow that was great. Hey I'm the first person to comment on this one! Hurray, seeing as you're newer poems are getting so much love, I figured I'd start with the lonely ones. I like how your poem shifts rhythm, but maintains a certain rhythm in each section, that is really advanced writing.
"Why do we have to?
Put up with this sh*t"
I would move that "?" to the second line.
"The person you hurts now your only lifeline
So the dilemma should I let you die today"
I would change "hurts" to "hurt's" with an apostrophe, and add a colon after dilemma, since...iono, it seems like a colon would be cool there. Anyhow, great poem. I'll read more later, its really early in the morning, and I'm sorta hungry/tired.