Dead on arrival or not?

Patient : I have put this question under the category of general but an emergency may be more appropriate. I'm working as a Cognitive Behavioural Therapist and am trying to help someone come to terms with witnessing traumatic suicide of a young lad that jumped from the top of a multi storey car park. The young lad was found by the client lying on the ground with blood pooling from the back of his head and blood coming out of his mouth and nose. The client attempted to find a pulse and could not. The client reported that the young boy kind of groaned and more blood came from his mouth and nose before there was silence. My client wants to know if it is likely that he was present at the moment the lad died or of because he could not find a pulse, that he was dead already. He and I are unsure if the groan was the boy's last breath or some kind of involuntary response. I know that the answer to this question may be impossible to say but if you have some suggestions of what is likely then it may help me to help him come to terms with what he saw. I hope you can help. Thankyou and kind regards, Ellie
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