My opinion fwiw is that he is not only dead, he has been dead for some time and had been lying on his face so that the blood has pooled at his head.
It is a damned shame (I use that word advisedly) that such a horrific photo should be bandied about. We only used to see them in the police and coroner reports.
Yes...I was being very conservative in my assessment, giving the benefit of any doubt, but I certainly agree—as I said previously: he was dead then.