Ah, fire right? I think I like the idea that suffocating doesn't always mean water (drowning) and because of the clear orange/yellow colours in this piece of work it is obvious that this relates to fire.
I think the background is wonderful - it sort of looks like a piece of paper, though that might be just me, and because of the yellow fading to black at the top it gives the impression that the paper is burning. It's original.
I, personally, love art where people use text (sorry, I can't remember what it's called) because the arrangement of the words/letters is very important. In this case, looking closer, the text appears to be blurred slightly and again, gives the impression of fading away; dying. The way the letters are jumbled up also have a great impact because, I'm guessing, that when you do start to suffocate, you lose focus and panic and the letters sort of show that. To me, anyway.
The technique is brilliant - crisp, clear edges and strong colours give it a very professional appearance. Looking at this piece of work doesn't make me feel sad, per say, but more so frightened and slightly creeped out. Fantastic.