I think it's beautiful, and I found it quite a turn on. I too like breath play, ID - and the red ribbon is lucious - personally don't like the shoes, but it's all personal!
As to the idea of it's being irresponsible - rubbish. Obviously it is professionally done, so the model is in no danger (OK, maybe a broken leg - those shoes!). But if anyone wants to play with nooses, they will certainly do it without the help of this photo. I've seen lots more (breath play) ones that I have found far more disturbing (and I like breath play).
So, no probs.