to me OFF is about realizing that no matter how bad or distorted life might get due to illnesses it still is one worth living, it still is better than complete nothingness (suicide/ending someone's misery) but that's MY takeaway from the story of OFF, not what the story actually is, its still dark and filled with despair, no what I might take away from it, what happens just happens, i cannot change it I can only learn from it to live my own life better.

coming to terms with OFF is much like coming to terms with how bleak life is, you can do little to change what happens in other people's (not friends or family, just people like the characters of this unfortunate story) lives but you can learn to appreciate yours and live yours to the fullest from their stories.