Barcelona Woman Granted Spain's First Euthanasia for Trauma After Brutal Gang Rape
Noelia Castillo Ramos' journey to euthanasia approval highlights Spain's evolving right-to-die laws.

A 25-year-old Barcelona woman named Noelia Castillo Ramos, who was left a paraplegic after jumping from a fifth-floor window in 2022, is scheduled to receive medical assistance in dying today, 26 March.
Castillo Ramos, whose life was irrevocably altered by a brutal gang rape, was granted approval for euthanasia in February, marking a historic and controversial application of Spain's right-to-die laws. The ruling by the Constitutional Court ends a protracted legal battle that has divided the nation and tested the limits of Spain's landmark 2021 euthanasia legislation.
Noelia Castillo Ramos' Life
Castillo Ramos was born into what she described as a 'broken family' and lived at various stages of her life under institutional care. Despite these challenges, she managed to build a life until tragedy struck in 2022. That year, she was gang raped, an assault that left her traumatised and struggling with borderline personality disorder and depression.
In the aftermath, Castillo Ramos attempted suicide by jumping from a building. She survived the fall but was left paralysed from the waist down, enduring constant pain. Her condition was reported widely, including by Daily Express US, and became the subject of public discussion in Spain.
'I Just Want to Leave in Peace'
Because of her suffering, Castillo Ramos sought assistance to end her life with the Organic Law on the Regulation of Euthanasia of 2021. Marca reported that her situation was considered by the Constitution Court as 'serious, chronic and disabling.'
In a previous interview with Spanish programme Y Ahora Sonsoles ahead of the procedure, Castillo Ramos explained her decision to end her life, saying she just wanted to 'leave in peace' after years of pain and suffering.
Her name is Noelia Castillo and tomorrow she will be the first person to receive euthanasia for depression in Spain.
— Ada Lluch (@AdaLluch) March 25, 2026
She was living in a supervised center with unaccompanied minors when she was gang raped by them.
Afterwards, she tried to unalive herself by jumping from a… pic.twitter.com/Hw29HQwig1
She also described her decision as deeply personal. 'I want to finish with dignity once and for all,' she previously told a judge, adding in her final interview that she felt a sense of relief to finally reach this stage.
She was supposed to undergo the procedure in 2024, but her father appealed before the court, as reported by PEOPLE. For the past two years, Castillo Ramos said her suffering was 'unbearable', citing not only her physical disability but an intractable cycle of depression, obsessive-compulsive disorder, and borderline personality disorder.
'None of my family is in favour of euthanasia. Obviously, because I'm another pillar of the family. I'm leaving, and you're staying here with all the pain. But I think, all the pain I've suffered over the years... I just want to leave in peace now and stop suffering, period,' she said.
'And a father's, or a mother's, or a sister's happiness doesn't have to come before a daughter's happiness or sadness of a daughter's life,' Castillo Ramos stated.
Family Opposition
Castillo Ramos's family has opposed her decision. Her father argued that her personality disorder had impaired her ability to make an informed decision, and that she had responded well to rehabilitation and changed her mind about ending her life several times.
Her mother, Yolanda Ramos, also disagreed with her decision but promised to remain by her side, 'I do not agree, but I will always be by her side.'
Despite these objections, the Constitutional Court dismissed the father's appeal in February 2026, arguing that Castillo Ramos had 'full capacity to decide' and that her request met the legal criteria for 'serious, chronic, and disabling' suffering, adding that there was 'no violation of fundamental rights' and that the euthanasia could go through.
If you or someone you know is experiencing mental distress, contact Samaritans at 116 123 for the UK or the Suicide & Crisis Lifeline at 988 for the US.
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