Is this boy truly fucked, or what? But what exactly is going on here?

So this boy looks like he's pretty fucked, doesn't he? But what exactly is going on here? Is it as simple as it looks? And if he's so fucked, what's stopping him from getting out of his predicament, or at least making it a bit easier on himself?

Take a look at the clues in the pic, then let us know in the comments below what you think is happening here...and all that went into his fucked-ness (yeah, that's a word...I just made it one, haha). :-P