That picture is sort of prophetic. You have a self abortion or FREE ABORTION (mel) taking place, a ragdoll (emma) and a female head (debra) and a male head (mark). Things that make you go hmmm.
....I always liked this image and I can relate to it emotionally....i just wished it was done by a better artist...but if she did it herself it doesn't matter how good or bad the actual artwork is I think...to me I always saw it as her rising above a abuse,i saw it as empowerment....i like the ragdoll,to me it symbolises the little girl that was abused and hurt...the man and the woman i always assumed were the parents or whoever was behind the abuse....now she is the queen that rose above the situation....i never saw it as literally slaughtering people just as symbolic....with the music she makes now she has power ....i love to paint and i suck at it....but my paintings are bloody and gory and they just deal with things i feel inside,so yeah i can relate....it's interesting though to look at it in connection with the case but once again,i can't imagine sam looking at it that way and imitating art...but who knows?