14岁的小亮(化名)是一名高中生，由于学习压力大，他的精神状况出现问题。今年4月，他在家长的陪同下，两次到长沙某大型医院精神科就诊。医生诊断其为抑郁症，给他开了“艾司西酞普兰”(百洛特)治疗。

14 years old little light(alias)Is a senior high school student,Due to pressure,His mental health problems.In April this year,He was at home, accompanied by long,Two times to changsha, a large hospital psychiatric clinic.The doctor diagnosed it as depression,gave"Ai company citalopram"(The lott)treatment.

　　可是，服用百洛特不到一个月，小亮出现失眠、意识混乱症状。5月5日，他跳楼自杀身亡。小亮家属认为，院方医疗过错行为导致小亮自杀身亡，状告医院索赔39.6万元。近日，此案在芙蓉区法院开庭，法院择期宣判。

but,Taking the lott less than a month,Small light appear insomnia/Consciousness disorder symptoms.On May 5,,He jumped off a building suicide died.Small bright family think,The hospital medical treatment fault behavior lead to small bright committed suicide,Sued the hospital claims 396000 yuan.recently,The case in furong district court session,The court sentenced elective.

　　服抗抑郁药物后跳楼自杀 Take antidepressant drugs jumped off a building suicide

　　小亮的父亲说，儿子由于学习压力大，今年年初开学后，孩子出现了一些异常情况，上课总是发呆走神。

Small light's father said,Son due to pressure,Earlier this year after school,Children there have been some abnormal situation,The class is always stunned absent-minded.

　　今年4月17日，他带着儿子去长沙某大型医院精神科看病，医生拟诊为精神障碍待查。医生给小亮开具了抗抑郁药物“艾司西酞普兰”(百洛特)治疗。该药的说明书写着，尚未在儿童和青少年人群中进行疗效和安全性研究，暂不建议用于这一人群；在注意事项写着：临床症状的恶化和自杀风险。

On April 17,,He took his son on a trip to changsha a large hospital psychiatric doctor,The doctor quasi diagnostics for mental disorders in dispute.The doctor gave the little light draw the antidepressant drugs"Ai company citalopram"(The lott)treatment.The drug instructions in writing,Not in children and adolescents in the study of efficacy and safety,Temporary not recommended for this population;The matters needing attention in writing:The clinical symptoms of the deterioration and suicide risk.

　　服用该药后，小亮的病情没有好转。4月24日，父亲再次带他到医院复诊。在诊疗过程中，小亮被诊断为严重的抑郁症，医生再次开具了百洛特，并加开了“维思通”。

After taking the medication,Small light was not improved.On April 24,,His father took him to the hospital return visit again.In the process of diagnosis and treatment,Small bright diagnosed as having a severe depression,The doctor again drawn on the Yeats,And put on extra"D think through".

　　小亮父亲说，服药期间，孩子出现失眠、意识混乱等状况，跟家人说“觉得灵魂没有在我身上了”。5月5日凌晨，小亮在家中跳楼自杀身亡。

Small bright father said,During drug,Children appear insomnia/Consciousness in chaos,Said with my family"Think soul is not in me".On May 5, at,Little light in the home suicide jump.

　　鉴定书称院方应担10%-20%责任 Expertise report says the hospital should bear the responsibility of 10% - 20%

　　小亮家人认为，院方在诊疗过程中存在过错，遂向芙蓉区法院提起诉讼，要求医院赔偿各项损失39.6万元。同时，家属委托司法鉴定机构鉴定：医院对小亮的诊疗过程是否存在过错，其过错与小亮自杀行为是否有关。

Small bright family think,The hospital diagnosis and treatment in existing in the course of fault,Hence to furong district court,The hospital compensation for loss of 396000 yuan.At the same time,Family judicial authentication institutions entrusted appraisal:The hospital for small bright diagnosis and treatment process whether there is fault,The fault with small bright suicide is relevant.

　　9月27日，鉴定中心组织医患双方召开听证会，并于11月出具司法鉴定意见书。意见书的分析说明称，医院用抗抑郁药物治疗符合医疗常规，但在医疗行为上存在两点不足：对患者的病情重视不够，应将病情的严重性和可能出现的病情告诉患者家属；对使用抗抑郁药物的注意事项重视不够，没有充分履行告知义务。

On September 27,,Appraisal center organization doctor-patient both sides hold hearings,And in November issue judicial authentication opinions.The analysis of the opinion that says,Hospitals antidepressant medication with conventional medical treatment,But in the medical behavior there are two inadequate:Do not pay enough attention to the patient,Should the seriousness of the disease and possible condition tell patients families;For the use of antidepressant drugs do not pay enough attention matters needing attention,Not fully inform obligation to perform.

　　意见书还称，患者自杀的主要原因系精神障碍病情发展所致，与院方的医疗行为没有直接联系，但由于院方没有履行告知义务，使得患者家属在患者病情变化后没有考虑及时就医，未能防范自杀行为的发生，因此院方应承担一定的责任，酌情考虑责任比例为10%-20%。

Opinion also said,The leading cause of suicide in patients with mental disorder is caused by illness development,And the hospital medical behavior no direct link,But as a result of the hospital did not inform obligation to perform,Family members can make patients in patients after illness change did not consider timely seek medical advice,Failed to prevent the occurrence of suicide,So the hospital shall bear responsibility for certain,Discretionary consider responsibility proportion is 10% - 20%.

　　院方称该药用于青少年并不禁忌 The hospital says the drug used for teenagers is not taboo

　　近日，芙蓉区法院开庭审理此案。小亮父亲表示：“这种药物没有经过临床试验，怎能草率开给我小孩呢？”他还说，医生应告诉家属，这个病会朝什么方向发展，会出现什么反应，家人应该注意什么，“可医院没有告诉我。”

recently,Furong district court case.Small bright father said:"The drug without clinical test,How can jump on my kid?"He also said,The doctor told the patient's family should be,The disease will be in what direction,Can appear what reaction,The family should pay attention to,"Can the hospital didn't tell me."

　　院方辩称，国内发表了许多文章，报道了百洛特的安全性和有效性。药物说明书称“暂不建议用于这一人群”，虽然该药未在国内这一人群进行临床试验，但该药用于儿童和青少年并不禁忌。院方还表示，该药说明书也只说有自杀风险，要求医师在使用该药时权衡风险与临床要求。因此，百洛特没有引起患者自杀的临床证据。院方认为，不需对小亮的自杀承担民事赔偿责任。

Argued that the,Domestic published many articles,Reported that the safety and efficacy of the Yeats.Drug instructions say"Temporary not recommended for this population",Although it is not in domestic this population in clinical trials,But the drug for children and adolescents is not taboo.The hospital also said,The drug instructions also only say suicide risk,Doctors in the use of the drug for the balance risk and clinical requirements.so,The lott no cause of suicide in patients with clinical evidence.The hospital think,Don't need to small bright suicide bear civil liability for compensation.

　　目前，此案正在进一步审理之中，法院将择期宣判。（潇湘晨报 记者 刘志杰）

At present,The case is under investigation,The court sentenced to date.(Xiaoxiang morning paper reporter LiuZhiJie)