"I'm Not Okay" is a phrase that fans or listeners of the genre use when mad or sad. It's usually written on what you call "Emo Kids" bios of MySpace. The phrase was created in 2004 when the song I'm Not Okay (I Promise) was released by the Pop Punk band My Chemical Romance.
A phrase comedian Dimitri Martin said in "These Are Jokes." Ever since then, fans have been writing this on bathroom stalls and park benches across America.
Dimitri: "Graffiti's the most passionate literature there is, you
know? It's always like 'Bush sucks!' … 'U2 Rocks!' … I want to make indifferent graffiti. 'Toy Story 2 was okay!'
A genuine question of concern. Because sometimes our friends fall off the wagon. Sometimes they're cruel for no obvious reason. Sometimes it hurts to the core. Don't be afraid to ask them if they're okay.
This is a question typically asked by others who have noticed something off in your behavior, and care about you enough to ask it.
This question is asked to confirm that the inquired person is in a sound physical, mental, or emotional state.
The question "are you okay?" is usually met with a lie, because the person will feel that they don't need to worry the others, or that they just can't explain it, or talk about anything right now.