Subject matter is good. Camera angle is different (I like that). But, it seems like you held it in your lap & took the shot at arm's length. The light overpowers the skin tones & it looks like you boosted the saturation a lot (the blood is too red).
This theme might have suggested pain in a much more subtle way. Without blood (which doesn't add to the image). Why did you cover up the face with that table? The eyes are important to suggest emotions. See grigrigirls picture //www.dpchallenge.com/image.php?IMAGE_ID=30912 . Can you see the fear in the subject's eyes?
3.