Evi Kneebone, 34, was recorded by the train camera jumping down from the sea wall and on to the railway tracks just as the Paignton-bound locomotive was pulling into Dawlish Railway Station.
He was suffering from paranoid schizophrenia and had a history of self-harm. On the day he died in October last year doctors at the hospital were due to discuss his release due to the good progress he had been making.