I wrote this when I was 15-16 maybe and this last week I was checking my old notes from my books and I wanted to recreated my thoughts with some art,,, I first draw it by hand and after, I transferred it to my iPad and ended doing an illustration using an acrylic pencil for the hands and mouth 👄, and last used magazine’s letters to make the quote
So to me this means
“The cause of suffering is desire, attachment and ignorance ... and it can be understood when the desire is not satisfied.”