Fist of all, that's NOT a good photoshop. You could have taken a picture of the front of cigarette for its reflection. Secondly, ehm...where is the "killing" part? I can only see torture here. For anything from war, crime, and something in-between, this works. Spiffingly.
But for a anti-smoking campaing? Heck, no!
This could even make it look cool, after all, we see fear. Anyone who wants an scene where the bad guy shows how mean he/she/it is will use this as a reference.
Sorry, but message here is not "Smoking kills". A cig in your eyes hurst like hell. But you'll tell the tale.
just as a statment if u actually put that in ur eye and pulled it out before you blinked you wouldnt feel any pain at all. there are no nerves in the eyeball you would only feel something poking your eye at the back.