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. However, the process was suspended at the last moment after legal objections raised by her father, backed by the campaign group Christian Lawyers.

The case has received enormous attention in Spain, with Christian Lawyers (Abogados Cristianos) attempting to block her death until the last moment. After an 18-month legal battle, the European Court of Human Rights (ECHR) ruled this week in Noelia Castillo's favor, and her death was eventually confirmed late on Thursday.

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 TV interview, she expressed regret over the lack of family support in her decision to pursue euthanasia.

Many critics, including members of the opposition People's Party, have decried the state's failure to provide proper care, depicting her death as indicative of larger systemic issues. Others point to the legal battles instigated by her father as a significant factor in prolonging her suffering.

Spain's 2021 law permits euthanasia under specific circumstances, but Castillo's case has highlighted the complexities involved and the vital importance of ensuring timely, supportive care for vulnerable individuals.