Pt arrived to ER with law enforcement after Aggressive agitated episode with stated suicidal and homicidal thoughts in a young 14-year-old with serious past psychiatric history. Patient is currently in a moderately agitated state but no need for chemical restraints at this time. Patient did agree to laboratory evaluation per protocol suggest in light of the absence of concern of overdose that we will defer to behavioral health evaluation before doing a blood draw. Will attempt to get a urine for drug screen. Behavioral health consult placed unclear if he will cooperate with evaluation. Patient is on one-to-one observation.14 year old male with oppositional defiant disorder, sensory integration dysfunction and ADHD with hyperactive impulsive type presented to Hosptial after disturbing events at school this morning. We know some sort of electronic gadget was taken away from Ethan. He became agitated and apparently attempted to roam the halls looking for his father who is also a teacher at the school making threats against the stepfather. Statements of suicidal ideation were made. Father is reportedly in support of a behavioral health stay due to to the level of aggression that has not been witnessed for a while. During his period of upset he tore off a piece of trim from the school that had nails in it and was swinging it at staff.