Suicide comes in many different flavors. The most common in my limited experience is desperation. If you are so utterly desperate for literally anyone to listen to you, I don’t see how it would hurt. Especially since there’s such a positive stigma surrounding the hotline. I personally know a couple of people that the hotline helped.
If it was her decision that her full face should be on display, the backlash should be evidence enough that someone else gets paid to make those decisions, not her.
The original looks boring. She has absolutely no emotions on her face. There’s no mystique, no ‘wickedness’. Even the composition looks like something a high schooler in Photoshop class would make.
The edit isn’t perfect either. But at least it pays homage to the original in more than just image. It adds that mystique back, and makes her look more menacing.
What it truly boils down to is ego. Although the edit is better, and so many people agree on it, it doesn’t show her full face. And she can’t let that go.