This is, overall, a very good photomanipulation. Real enough that we recognize a photo, with a touch of surreal that pushes to a concept, a vision : Cause it's me you are drowning (I quickly read the lyrics and listen to the song to get the "right mood")

To me, the word "drowning" would refer to "fear of dying" or something like that, but in the song, it's clearly about the sorrow of one that make the other suffocate. Than, the mood of this image is right, cold blue, white and gray. The choice of this photo as a model is also good. The emotion on the girl face is sad (probably amplified a bit with the manipulation?), the pose make us feel like "pressure on the shoulders" or "can't stand anymore"... though it could have been even more expressive, because the action of "drowning" involves stronger emotions.

I do understand that working with stoke picture limits the choice of models; to get the perfect pose with the perfect emotion, you'll have to shot the picture yourself!! )

What really makes this image, is the splashing, in association with "drown". This is very good. The red hair add a bloodish touch to the feeling. I would add that, with the movement of the splashing, the fact that it's supposed to be a capture of water in action, the hair should have movement in them, instead of being still.

So, that's my two cents more emotions expressed through the face & pose, and a more harmonious movement of hair going with the splashes... I try to be the most constructive, and believe me, I had to sit down, watch, feel, think... before I could come up with this, since it is a very flashy and very good looking image!