Seems to be wearing some kind of brace. The kid might have a metal issue of some kind.
Dirtbag move of the gossip press to publish such pictures. Why target this kid, he is just a kid.
It's not enough that he has to go through every day looking at his brother and sisters, the tabloids need to rub it in as well.
If he weren't troubled before (feeling inferior to his siblings, having let down his father etc who knows what goes on in his mind and how his mental health is currently), i'm sure he is now.
I'd say he has enough problems to worry about, the daily/weekly tabloid-reports about him are unnecessary.
If he offs himself, they are to blame for sure.