Self Harm - photographs

As my idea is looking at the victim v the attacker with Self Harming I have come across this photograph by Multicoloured and the image is titled 'Silence' just by the title I was drawn to it because with Self Harming the person is silent they feel that they can't speak to anyone and they are alone in the situation.

When I looked at the photograph I thought this shows the victim v the attacker she is holding a knife to her throat with tape around her mouth and to me this image is yes a Self Harming image but it is looking as if she has been kidnapped and being  attacked which I feel fits in well with the project which I want to go down and focus on.