I like the composition. Good pose. The negative space at the top works well. The noise adds to the mood. The color doesn't seem quite right, and the overexposed candles, although essential to the message, are somewhat distracting. I'm not sure what to think of the exaggerated hands. I can't really say I like it, but it does certainly emphasize the subject of the photo, so I guess I'll commend your innovative use of wide angle.
Overall, it's difficult to easily tell what the photo is about; you have to look closely. That isn't necessarily bad, but here it doesn't really work for me.
for me, your image would be more powerful if cropped off the top and turned into more of a horizontal. Also, keeping all four candles within the frame rather than having them cut off. I also wonder how this would look in black and white - might help with the grain, unless you're going for that look.