There is definite pain, suffering and sadness in this image. I can see the tears and the expression of pain in the eyes and the way the subject holds their mouth. To me it is palpable. The other thing I really think is a strength is that you only show us half the face - the message to me is that the subject is trying to hide their pain and suffering. Youth tries to hide what they are feeling inside - and I feel that this half face shows the true feeling of what is behind the mask. This is the half that is typically hidden; what we don't see. I almost feel like I walked into the room and interrupted/intruded on a private moment- that the main subject quickly looked up in surprise that someone walked in when they needed to cry it out. Nicely done. (not voting)
I don't know what it is about this image, but I really like it. I like that it's an incomplete story, leaving us to wonder what has reduced her to tears. The harsh light and desat really work well, as does the crop.