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This song the one that always touch my heart... This is wat they say in wikipedia
According to lead singer and songwriter Isaac Slade, the song was composed and influenced by his experience while working as a mentor at a camp for troubled teens:
“ One of the kids I was paired up with was a musician. Here I was, a protected suburbanite, and he was just 17 and had all these problems. And no one could write a manual on how to save him. ”

Slade claims that the song is about all of the people that tried to reach out to the boy but were unsuccessful. As Slade says in an interview, his friends and family approached him by saying, "Quit [the problem behavior] or I won't talk to you again," but all he needed was some support.

The verses of the song describe an attempt by an adult to confront a troubled teen. In the chorus, the singer laments that he himself was unable to save a friend because he did not know how.

While this was the original intent of the song, the band has opened the song to interpretation. They created a website[1] where fans were welcome to submit music videos they had made for the song. This arose from the response that Slade got from the song:
“ I got a lot of e-mails about it (...) One kid died in a car accident, and I guess it had been the last song he downloaded from his computer. They played it at his funeral, and some of his friends got Save a life tattooed on their arms. The response has been overwhelming.

and also.. this song have 3 videos.. wow... anyway this is the lyrics

Step one you say we need to talk
He walks you say sit down it's just a talk
He smiles politely back at you
You stare politely right on through
Some sort of window to your right
As he goes left and you stay right
Between the lines of fear and blame
And you begin to wonder why you came

Where did I go wrong, I lost a friend
Somewhere along in the bitterness
And I would have stayed up with you all night
Had I known how to save a life

Let him know that you know best
Cause after all you do know best
Try to slip past his defense
Without granting innocence
Lay down a list of what is wrong
The things you've told him all along
And pray to God he hears you
And pray to God he hears you

Where did I go wrong, I lost a friend
Somewhere along in the bitterness
And I would have stayed up with you all night
Had I known how to save a life

As he begins to raise his voice
You lower yours and grant him one last choice
Drive until you lose the road
Or break with the ones you've followed
He will do one of two things
He will admit to everything
Or he'll say he's just not the same
And you'll begin to wonder why you came

Where did I go wrong, I lost a friend
Somewhere along in the bitterness
And I would have stayed up with you all night
Had I known how to save a life