While supporters of assisted dying see the successful conclusion of a girl's euthanasia request as a milestone in empowering personal freedom, the conservative part of society criticizes it.
The touching story of Spaniard Noelia Castillo Ramos has deeply affected, yet divided, the world. This 25-year-old from Barcelona underwent euthanasia on Thursday, March 26, 2026. Long-standing mental health issues and physical pain led her to decide to end her life voluntarily.
Noelia Castillo Ramos was a victim of sexual violence. After suffering abuse from her ex-boyfriend, she ended up in a youth crisis center. Although it was supposed to be a place where she felt safe, she left with trauma that drove her to a failed suicide attempt.
In 2022, she was gang-raped by three men at the center. Days after the attack, she overdosed on drugs and jumped from the fifth floor of a building, intending to end her life. She survived the fall but sustained irreparable spinal damage, leaving her paralyzed from the waist down.
Chronic pain, immobility, and the inability to care for herself worsened Noelia's mental health issues, and she lost the will to live completely. When she decided to end her life with dignity and escape her suffering, her family disagreed and tried to stop her.
Primarily against assisted death was her father, who, backed by the ultraconservative religious group Christian Lawyers, attempted to convince the courts that his daughter was not competent to make decisions about her fate. He managed to postpone the euthanasia for 20 months, but authorities repeatedly affirmed that the choice was solely Noelia's.
I want to leave in peace and stop suffering. Period. No one in my family supports euthanasia, but what about all the pain I've had to endure while alive? The happiness of my father, mother, or sister can't be more important than the life of their daughter, she told the Spanish TV channel Antena 3 just two days before her death.
While supporters of assisted death view the successful conclusion of her request for euthanasia as a milestone in empowering personal freedom, the conservative part of society and religious groups criticize it, warning of a moral decline in the system, which they fear may start dismissing rather than helping the sick.
National Mental Health Support Line (free): 0800 193 193
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- Noelia’s struggles with drugs.
- The diagnosis doctors gave her in her teenage years.
- The attempts by her father and a Christian society to declare her incompetent to make decisions about her death.
- How she planned her final hours.
- How euthanasia is conducted and how long it takes from the start until the patient passes away.
She Suffered Since Childhood
Noelia Castillo Ramos was marked by an unfortunate childhood. Her parents divorced when she was 13. Shortly after, her mother lost their home to foreclosure, so she and her sister had to move in with their father, who was more interested in alcohol than raising his daughters.
Since no one at home paid attention to Noelia, she sought it among her peers. In her teens, she started hanging out with the wrong crowd and using drugs. Her addiction issues led to spending much of her youth in children's homes, where doctors diagnosed her with obsessive-compulsive disorder and borderline personality disorder, reports CNN.
Another blow came when she was sexually assaulted by her former boyfriend of four years. According to her, he raped her after she took sleeping pills. This was not the only incident of sexual violence Noelia Castillo Ramos endured.
In an interview for the Spanish TV channel Antena 3 shortly before her death, she said she broke down after being gang-raped by three men. She told no one about the attack, but days later attempted suicide by jumping from a building's fifth floor, in front of her father.
My father saw me fall and couldn't do anything about it. But after everything he's done, I don’t feel sorry for him anymore, Noelia Castillo Ramos said in an interview.
She was referring to her father's attempt to prevent her from undergoing assisted death. Since the fall damaged her spine, she was paralyzed from the waist down, adding chronic pain and issues like incontinence to her mental struggles. She saw death as her only release.
I don't want to do anything. Neither go out, nor eat. Due to pain in my legs and back, I can't sleep, she complained shortly before her death.
Already Dead to Her Father
Despite the Catalan government (an autonomous government in Spain that oversees the Catalonia region, ed.) granting Noelia Ramos the right to assisted death in the summer of 2024, the process was halted at the last minute due to legal objections from her father, reports BBC.
The woman's father claimed that his daughter suffered from a personality disorder affecting her judgment, and with the support of the ultraconservative religious group Christian Lawyers, managed to delay her death by 20 months.
The legal battle went through five levels: decisions on the woman's euthanasia were made by Barcelona Court, the Supreme Court of Catalonia, the Supreme Court of Spain, the Constitutional Court of Spain, and even the European Court of Human Rights. All these institutions confirmed the original decision that only Noelia Ramos could decide on her own life.
He didn't respect my decision and never will. He wanted to transfer the house he bought to my name, so he could continue receiving child support. Now he doesn't even want to pay for the funeral, attend the euthanasia, or the final goodbye. He says he wants nothing to do with me. That I'm already dead to him. I get it. He's a father and doesn't want to lose a daughter, but he doesn't listen to me. He never calls, never writes. All he does is bring me food. Why does he want me alive? To keep me in the hospital? complained Noelia Ramos.
Patients wishing to undergo assisted suicide must submit two written requests 15 days apart and then discuss their health with attending physicians. Once approved, they must submit another request to a regional expert commission, which makes the final decision. By law, medical staff may refuse to participate for personal reasons.
Wishing to Die Beautiful
Once the court finally ruled that Noelia Ramos could undergo assisted death, she agreed to the earliest possible date, March 26. She insisted on having the euthanasia performed at the Sant Pere de Ribes Social Services Home, where she lived, as she considered it the safest place.
I explained to them how I want it to go. I want to die beautiful. I'll wear my finest dress and do my makeup, she said on Spanish TV two days before her death.
Although she invited her family to say goodbye, she wanted to die alone. Despite her mother's plea to be present for the injection, she remained firm:
She told me that just as she saw me at birth, she wants to see me close my eyes. The answer is no. I don’t want her to see me close my eyes. I’d rather say goodbye first, and then, if she wants, she can come.
In her final days, Noelia Ramos seemed reconciled with her death. I've finally done it. Let's see if I can rest because I can’t bear this family, the pain, and everything that weighs on me from what I've had to go through. I don’t want to be an example for anyone; it's simply my life, and that's all.
Even though she chose euthanasia freely and consciously, many questioned her decision until the very end. Spanish conservative politicians labeled her case as a state failure, and church leaders invited believers to pray. The Spanish Episcopal Conference acknowledged her suffering was heart-wrenching but insisted that her true relief isn’t suicide, according to the Spanish portal El País.
Shortly before six in the evening, when Noelia Ramos's euthanasia was scheduled at Sant Camil hospital, believers gathered outside the building to pray.
The woman spent the last night of her life with her mother. On the day of her death, other family members, including her grandmother and father—who initially didn’t want to attend—were with her.
Everything followed a strict protocol. Doctors administered a combination of drugs sequentially. Typically, no more than 30 minutes pass from the first drug administration until death. According to previous statements, Noelia Ramos chose to receive the drugs via injection.