This i like very well, thank you. You captured the dilemma quite nicely, concisely. The way you work in series of threes then conclude with two lines to sum it up works most effectively, particularly the 'Consequences either way' section. One suggestion to take or leave as you see fit... My mind screaming with despair Deleting the My and leaving it Mind screaming with despair could intensify the rest of the poem. Would fit the fragmentary style of the introduction better and makes the 'I' lines hit harder when the reader gets to them. Just my two cents worth of input.