You people let the media turn you to fearful cowards. This could be read in a lot of ways and until you talk to the artist you'd never really know which way he went. Without talking to him, I see the story of an ex girlfriend who hurt him or the story of a girl telling her story.
Blood on the smile could be the pain to pretend you're happy.
Someone elses hand in your head could be others trying to control her, the many lips from the mouth could be all the lies it takes to live in a rough life.
The thumb of the hand from the shoe taking for more shoes.
Upside down feet could be walked on confusion.
You say it's a sign of a killer, when it could very-well be the sign of a man letting go through a picture. I have just as much chance being right as the rent-a-cops are.
Pictures that make you think and could be viewed in many ways deserve respect.