I'm not sure if you were going for realism, but there are multiple parts to this that can be fine tuned. The blood isn't all that realistic, for starters, as it would have a blotchy texture if seeping into paper, kind of like watercolours would. And the font is rather digital, so it feels less human, handwriting it out then scanning onto your computer would do wonders (as would the watercolours I suggested too actually). Those details aside though, you got an essence to the piece, which is enough to make "it" art in my eyes; I'd just recommend experimenting with other mediums in the future thats all. Nicely done :)