What is his accommodations at school? I don't know where you're located but you can look for intensive outpatient program or a therapeutic school. Does he have a therapist at school?

Don't expect the dr to react, or be ready to hospitalize him that easily. As long as he doesn't present there and willing to abide to his treatment plan and not an immediate threat to himself or others the dr. wont bat an eye. The pdoc needs to appear on your son's side and not have "knee jerk" reactions.

your best bet is call an ambulance next time he's reacting like that. In the mean time lock up all pills and sharp objects. What medication is your son on? I know when my son was on ADHD meds he was suicidal every night as withdraw set in.

You could always go to a neropsychiatrist or a children's hospital or university hospital even if it's hours away. It's worth the drive. We had to do that with my son's cyst. We traveled 4 hours one way. We also traveled that far for specialized therapy. It's a lot but it's only ones a month until he's stable then less as time goes on or have them suggest a clinic near you. I like having a therapist that is in the same office as the psychiatrist because they share notes. Do you have any other children?