Bottom line: If the powers that be wanted him to be alive he would be alive.
From the NY POST:
The longtime bodyguard of disgraced financier Jeffrey Epstein says he believes that his former boss recruited others into helping him die in an apparent jailhouse suicide, according to a new report.
https://nypost.com/2019/08/15/jeffrey-epsteins-bodyguard-somebody-helped-him-kill-himself/