The grieving family of a man who threw himself in front of a train have accused mental health services of failing to prevent his suicide.
Nathan Oates, 31, jumped in front of an express service to Manchester at Dewsbury station on April 21 this year.
An inquest in Huddersfield has concluded he took his own life.
His death comes despite years of appealing for help from doctors.
Nathan, of Clare Hill, had visited A&E departments eight times in the run up to his death, claiming he was suicidal, had taken drug overdoses and asking to be sectioned.
But a host of medics said his symptoms were not severe enough to warrant long term hospitalisation.
Nine days before his death, doctors assessed him at low risk of harming himself.
The inquest at Kirklees Coroner’s Court heard Nathan had been detained in hospital from 2006 to 2010 but had struggled to engage with care in the community upon his discharge.
Following his release he frequently arrived at A&E departments saying he had taken paracetamol or aspirin or ecstasy overdoses.
But on several occasions doctors said he showed no signs of significant depression or paranoid schizophrenia.
After travelling to London to visit his aunt, he again presented at an A&E and was transported back home by ambulance.
But he ran off when the ambulance stopped at a motorway service station. His family say he thought he was being kidnapped and was arrested after attacking ambulance staff with a plastic knife from McDonald’s.
Police officers brought him back to Huddersfield but he was let go.
On the day of his death, Nathan visited his mother Joanne Oates in the afternoon and told her he was going to throw himself under a train.
But she did not think he would do it as he had made threats before without following them through.
Mrs Oates, of Thornton Lodge, told her son she would see him tomorrow but Nathan replied that she would not.
Two hours later he was caught on CCTV cameras on platform two at Dewsbury Rail Station. He sat for ten minutes before suddenly getting up and jumping in front of an oncoming non-stop train.
Coroner, Mary Burke, ruled he had committed suicide.
Speaking after the conclusion of the inquest Mrs Oates said her son had struggled to cope after being discharged from in-patient care.
“If he needed help he would turn up for help,” she said.
“That’s all he did but they took no notice of him. One hospital said they didn’t want him.
“He was up and down, he was difficult. He was hard work but does that mean people in that position should be ignored and left liable to do what it is that they’re going to do?
“When he pulled out that plastic knife he should have been put back on his way to hospital.”
Aunt, Jeanette Graham, said: “That is a big failing on their part.
“He thought he was being kidnapped at the time. He should then have been sectioned.”
Mrs Oates, added: “They believed him when they said he was going to take drugs but they didn’t believe him when he said he was going to commit suicide.
“They should have sectioned him.“