Pianist said: Removed the spoilers tag since Yuri says this on the first episode.
It also refers to how everyone in Little Busters is dead aside from Riki and Rin. They're living in an artificial world created by Rin's brother after an accident during a school trip.
KenjehXD said: It also refers to how everyone in Little Busters is dead aside from Riki and Rin. They're living in an artificial world created by Rin's brother after an accident during a school trip.
Obviously this picture is a refrence to the fact that these two characters share a seiyu... and many character traits. Saya may well be a template for Yurippe.
In response to above comments
Actually, they're not dead, they're dying. They're trapped in a bus that is about to explode. In one possible end, the bus explodes with everyone else in it; in the True End, they are all saved. As time is frozen in a loop, everyone is in the same state.
Also, as a point of interest, Aya/Saya is never dead, though she comes very close to dying and then accesses the other-world in the time loop