My 8 yr old son has been having violent rages, self-injury, and injuring others on and off since he was 4 years old. Each year as his illness progresses, new symptoms, and psycosis appears. He was diagnosed at age 5 with Asperger's Syndrome, ADHD, and sensory processing disorder (SPD). Now at age 8... things are changing drastically. For one, he is now over 100 lbs and almost 5 foot tall which is really big for his age. He is so strong now that during his (30-60 min) Rages, my teen daughter and I are hardly able to restrain him. We always get kicked, punched, spit on, bit, and scratched. He threatens to kill us, and threatens to kill himself. He has always done this (for at least the last 4-5 years), and his doctors never seem concered when he tells them he wants to die, or says he wants to kill his sister or me. I even took him to the E.R. one night when he was 7 yrs old as he was out of control and so violent. When the E.R. doctor asked my son what's going on? My son said "I want to kill myself" and the doctor still just sent us home with nothing, and said follow up with his pediatrician or therapist the next day. His medication does not work at all, and I have been pushing his psychiatrist to add a mood stabilizer or something. I am not convinced that we even have the correct diaognosis at this point. I think he may also be Bi Polar? He has these violent rages at school, and at home several times a week (4-6 days). He was already pulled from public school, and now goes to a school for the emotionally disturbed. He continues to kick, punch, destroy property, and spit on staff and children. I don't know how much longer I can restrain him at home without serious injury to myself, him, or his sister. My questions is, WHEN do I give in and take him to a inpatient hospital? It has been suggested over the past few years that I take him..... but I just couldn't bring myself to do it. I know now that I will have to do it soon. When is the best time to go? When he is in the middle of the rage? If so, how do you safely transport him? Or do I take him when he is calm? If so, will they turn him away because he looks so calm and sweet like nothing is wrong with him? WHEN should he go?? Please help.