The administration of euthanasia for 25-year-old Noelia Castillo Ramos took place in Spain on March 26 — an event occurring after she faced immense life challenges since childhood and following nearly two years of a legal battle waged by her parents to preserve her life.
According to Spanish law, to request euthanasia, an individual must be of legal age and be both mentally capable and fully conscious at the time of the request; they must also hold Spanish citizenship or have maintained legal residency for more than 12 months and “be suffering from a serious and incurable disease or a serious, chronic, and disabling condition, as certified by the attending physician.”
On March 24 it was reported that the European Court of Human Rights rejected the interim measures requested by Castillo’s family to halt her euthanasia, bringing an end to a legal battle spanning nearly two years.
The following day, an interview with Castillo aired on the Spanish television network Antena 3 in which she described how she feels: “I have no desire to do anything — not to go out, not to eat, not to do anything at all. … Sleeping is very difficult for me; furthermore, I suffer from back pain as well as leg pain.”
“I have always felt alone, because I have never felt understood; no one has ever empathized with me, and I have always struggled with interpersonal relationships,” she recounted.
“Even before requesting euthanasia, I viewed my world as very dark; I saw a very dark ending ahead of me. I had no goals, no objectives — nothing at all — and I still have no goals, no objectives,” she acknowledged.
Life challenges
Castillo’s life has been full of many challenges. While under the guardianship of public services following her parents’ separation, she was subjected to multiple sexual assaults.
According to Abogados Cristianos (Christian Lawyers) — the organization representing Castillo’s father in his efforts to prevent his daughter’s euthanasia— at that time, the young woman had been officially recognized as having a 67% disability due to mental illness.
In October 2022, she attempted suicide by throwing herself from a balcony, sustaining injuries that left her in a wheelchair; this increased her disability rating to 74% — a fact that, according to the Christian Lawyers organization, “demonstrates that the underlying issue is psychiatric.”
“This is key: The Constitutional Court itself (Ruling STC 94/2023) makes it clear that euthanasia cannot be administered when the source of suffering is a mental illness and that the state has an obligation to protect these individuals from the risk of suicide,” Christian Lawyers emphasized to ACI Prensa, the Spanish-language sister service of EWTN News.
Although reports have circulated claiming she was left paraplegic, Castillo herself refuted this: “I am not bedridden or anything of the sort; I get out of bed. I shower all by myself. As you have seen, I apply my own makeup and manage my own affairs,” she stated.
According to her own testimony, Castillo had been admitted to psychiatric facilities at least twice previously, and during those stays, she made several suicide attempts. She was discharged in June 2023.
In April 2024, she requested euthanasia in accordance with the procedure established by law, and it was approved for August 2024. This marked the beginning of a legal battle waged by her father, supported by the Christian Lawyers organization.
During the proceedings, they succeeded in halting the procedure and securing recognition of the family members’ right to object to the euthanasia request.
Concurrently, Christian Lawyers filed a criminal complaint against the physician and the lawyer who had initially evaluated Castillo’s request in accordance with the protocol.
The organization alleged that, despite agreeing to authorize the euthanasia, the two “feigned disagreement in order to refer the decision to the Guarantees and Evaluation Commission, thereby ‘forcing’ a supposedly higher level of assurance in the decision-making process” — a point noted by the Supreme Court in a ruling.
In September 2025, Christian Lawyers also filed a complaint against seven members of the guarantees commission for conflict of interest as well as against the former Catalan minister of health, Josep María Argimón, for having appointed them.
Subsequently, in January of this year, the Supreme Court upheld the request for euthanasia — a decision that was appealed to the Constitutional Court, which rejected the appeal in February.
The Christian Lawyers organization also took the case to the European Court of Human Rights, which rejected the request for interim measures without ruling on the merits of the case on March 24.
Following this, it was announced that the euthanasia procedure would be carried out on March 26 at 6 p.m. local time. The procedure lasts approximately 15 minutes and involves the use of three chemical substances. Per Castillo’s decision, her parents were not permitted to be present.
‘This case exposes the failure of the euthanasia law’
According to Christian Lawyers, “this case exposes the failure of the euthanasia law. It facilitates suicide without the individual having received prior mental health treatment.”
Consequently, the legal organization emphasized that “it is imperative to establish protocols mandating an attempt at psychological and psychiatric treatment before authorizing euthanasia. Without treatment, there is no free decision; there is abandonment.”
Finally, they hold the health authorities of the Catalan regional government responsible: “Before offering death, they must ensure that they have offered every alternative for life. In cases of mental illness, they should be investing in the most advanced psychiatric treatments and in recovery.”
This story was first published by ACI Prensa, the Spanish-language sister service of EWTN News. It has been translated and adapted by EWTN News English.
