Remove discord from the home if he’s on it.
And encourage him in finding purpose.
Like many boys his age, he’s lost, bored, and searching for meaning.
Help him discover a passion or interest or skill and invest time in building him up to pursue that thing. Take him to a retirement community to meet with a social worker or event planner there and find out how he can connect and be helpful to the elderly. Explain to him that his life is valuable and he can find deeper meaning and purpose in using his gifts and talents to help others. He does have gifts and talents and may just need some guidance in unlocking those and nurturing them.
Depression grows from feeling useless and gazing inward. If all the therapies and counseling services have t made that big of a dent, why not break the cycle and try something new? If he’s busy pursuing greatness and helping others, he may become less interested in nurturing the disease of self that so often consumes young men who are floundering.