That's the adorable face one mom found after removing the shiny foil from an otherwise innocent-looking toy wand she bought at a dollar store in Dayton, Ohio. Apparently, China decided to slap Satan's anti-smoking, pro-suicide PSA on literally the last place someone would think to look. One enthusiast of schlock launched an investigation and discovered that the wand's packaging is decorated with a character from Cardcaptor Sakura, an anime series that, as far as we know, doesn't feature an episode where a demon girl slices her own wrists open (that was Digimon). It also includes Engrish phrases like this one:
I WILL DESTRUCT ALL THAT BEAUTIFUL IS.
Most of the wands contain images of anime characters or zombies; the wrist-cutting girl is rare, presumably to further convince you of your own insanity. No one knows who made it or what the logic was -- what we can tell you is that, although it promises to "Send Out Wonderful Music," what it actually does is laugh the cackling howl of the damned. Sorry, little Timmy, you're getting some candy or nothing next year. Probably nothing.