An interesting picture. Reminds me of my own submission, although I didn't go quite as far. The pose is very dramatic, but I think it doesn't suggest pain that well. The colour cast is nice, it adds to the overall effect. 7.
Brave! And although I can't put myfinger on why, I really feel that this conveys pain. You've created interesting lines. I think I'd like it better if it weren't so obvious that he is covering his privates. There are poses that will hide what needs to be hidden without the cupping of the hand. Just my two cents.
I really like the top portion of the picture. The hand in the crotch area calls too much attention to itself (I'm assuming that the arm over the head was supposed to be the main focus of the picture). I think it might look better if it was cropped around the belly button.
I like this photo, its dark though. What grabs me about it is that it shows insecurity, i dont know if that was the message you were trying to get across, but thats what it does to me..