I don't know the title of this image but I think it's from
Selected Works: Sandman, Violent Cases, Cages by Neil Gaiman
All images are by Dave McKean
Balance? On the edge? Push? Over the edge? Where is the limit? 
Another one by Dave McKean
This is from the CD Black Vanity for the Band Cemetery
(no I have not listened to the CD, I just like the art.)
Black Vanity is a fitting title
Despair? Self Worth? Emptiness? Pain? Anguish? Desire?
pain
