The suggester says, "I think the subtlety of the finger/hand coming from the shadow of the scalpel is beautifully crafted and I missed it on my first viewing. The plain background gives a sense of emptiness and loneliness, which I think affects people a lot who are driven to self-harming. They think they're alone in the world. Self Harm in the Shadows by =brain-slug is a subtle image which speaks volumes without sensationalising or trivialising the experiences of people who live with this very real issue on a daily basis. Please remember that when writing your comment :heart: