It worked well. It worked so well that I could only help to think that for the last sentence, I wish it was broken up. Thinking that to make it stand out stronger the last sentence would be,
"So she sits in silence, in tears.
Silently screams."

I believe having that action be by itself would enunciate the message from being heard and recognized to being just something that only one's self knows.

Wow, such a deep and meaningful piece. It was moving, and beautiful and amazing and unique in it's own way