Warning: This story contains references to sexual assault and suicide. The death by euthanasia of a 25-year-old Spanish woman after a protracted legal battle with her father has triggered debate about the role of the state in caring for her and why it took so long to implement her wish to end her life. Noelia Castillo, who had been left paraplegic due to injuries suffered when she tried to take her own life in 2022, died on Thursday evening at a Barcelona hospital.

The Catalan regional government had granted her the right to assisted dying in 2024, but the process was suspended at the last moment after legal objections raised by her father, backed by campaign group Christian Lawyers.

The case has received enormous attention in Spain, with Christian Lawyers attempting to block her death until the last moment. After an 18-month legal battle, the European Court of Human Rights ruled this week in Noelia Castillo's favor.

Castillo had spent much of her childhood in care homes and had recounted the impact on her mental health of her father's problems with alcohol and experiences of sexual assault. In a recent interview, she expressed her family's lack of support for her decision to die and her desire to end her suffering.

Her mother was present at the clinic during her procedure, though she disagreed with the decision. A former friend aimed to persuade Castillo to change her mind but was barred from entering the hospital.

Critics, including the Catholic Church and opposition leaders, have condemned the systemic failures in her care, stating that the institutions that were supposed to support her left her with no option but euthanasia. Meanwhile, others have pointed to legal roadblocks that significantly delayed her ability to exercise her right to die with dignity.

Spain legalized euthanasia for adults with incurable illnesses in 2021, requiring strict protocols. Despite these regulations, Noelia's case exemplifies the emotional and bureaucratic hurdles many face in their most vulnerable times.