According to the FAQ on "Verve Pipings", the guitarist and lead singer Brian Vander Ark wrote the song in 1991 about the guilt he felt from his ex-girlfriend committing suicide, but she didn't actually commit suicide; the real incident which inspired the song was when his pregnant girlfriend had an abortion.
In a 2019 interview with Songfacts, Vander Ark said:
"...It's for the most part a made-up story, which most of my songs are. These are stories that I come up with, and I do characters. Part of the story was true in the fact that I had gone out with a girl and my buddy had gone out with her after I went out with her, and then I went out with her again and then she ended up getting pregnant and having an abortion. But from there, there's poetic license that happens and makes the story more dramatic. A neophyte writer that I was, I ended up having her commit suicide, and that never happened."
Vander Ark also stated that he never found out whether the baby was his or his friend's.