Health & Education · Madrid
Spain's euthanasias increase 32.6% in 2025 as neurological diseases overtake cancer
Provisional data show 565 assisted deaths last year, with neurological conditions causing 46% of cases, surpassing cancer. Requests rose 38% and territorial disparities widened.
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In brief
565 people received aid in dying in 2025, up from 422 in 2024, with requests rising by 38.2%.
Neurological conditions accounted for 46% of procedures, surpassing oncological cases despite cancer representing 37% of initial requests.
Catalonia's request rate of 6.14 per 100,000 contrasts with Murcia's 0.5, driven by unequal access and information.
374 people died during the processing in 2025, 277 of them before the evaluation committee report.
83.9% of recipients were older than 60; 51% received the procedure in a hospital and 35% at home.
Five years of the euthanasia law
Spain's Ministry of Health released provisional figures during the conference "Five years of the Organic Law on the Regulation of Euthanasia: Advancing in rights". Since the law took effect in June 2021, 1,668 people have received aid in dying, with a total of 3,716 requests. The number of procedures has risen every year, reaching 565 in 2025, a 32.6% increase over 2024. Concurrently, requests rose 38.2% to 1,284.
- 2021
- 75 count
- 2022
- 288 count
- 2023
- 342 count
- 2024
- 422 count
- 2025
- 565 count
Data from the article text
A shift from cancer to neurological conditions
While initial requests are dominated by oncological diseases (37%), neurological pathologies accounted for 46% of the euthanasias actually performed. Among the 1,284 requests in 2025, neurological diseases represented 31%, behind cancer, but among those who completed the process, the proportion inverted. This suggests that cancer patients more often die before the procedure is carried out, as shown by the fact that 61% of the applicants who died during processing had oncological conditions.
Marked territorial inequalities
The rate of requests varies sharply by region. Catalonia had the highest rate, at 6.14 per 100,000 inhabitants, followed by Navarre (5.41) and the Basque Country (5.13), all well above the national average of 2.61. At the other end, Murcia recorded only 0.5, and the Valencian Community, Extremadura, and Andalusia all remained below 1.3. The association Right to Die with Dignity (DMD) attributes these gaps not to demographic differences but to unequal information provided to patients, uneven training of doctors, and varying openness of the evaluation committees.
- Catalonia
- 6.14 per 100,000
- Navarre
- 5.41 per 100,000
- Basque Country
- 5.13 per 100,000
- La Rioja
- 3.67 per 100,000
- Balearic Islands
- 3.12 per 100,000
- Cantabria
- 3.03 per 100,000
- Asturias
- 2.96 per 100,000
- Canary Islands
- 2.66 per 100,000
- National average
- 2.61 per 100,000
- Andalusia
- 1.24 per 100,000
- Extremadura
- 0.95 per 100,000
- Valencian Community
- 0.9 per 100,000
- Murcia
- 0.5 per 100,000
Data from the article text
Deaths during the waiting period
In 2025, 1,187 processes concluded, of which 565 (47.7%) resulted in assisted death. However, 374 people (31.5%) died while the procedure was still being processed. The majority, 277, died before the Guarantee and Evaluation Committee issued its report, with an average wait of 32.7 days. Another 97 died after a favorable report but before the scheduled procedure, with an average time of 104.9 days from the initial request. Additionally, 157 requests (13.2%) were denied, mostly by the responsible physician at the outset, and 91 (8%) were revoked.
Demographics and international context
Of those who received the aid, 83.9% were over 60 years old. The procedure took place in a hospital for 51%, at home for 35%, and in a social-health centre for 14%. A healthcare team administered it in 98% of cases. Spain's euthanasia rate, at 0.13% of all deaths, remains far behind countries like the Netherlands (5.96%), Canada (5.1%), and Belgium (4%), though it has been steadily growing since legalisation.
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Sources and context
- RTVE.esEl derecho a la eutanasia permitió a 565 personas recibir ayuda para morir en 2025, el 0,13% del total de muertes
- La RazónUn total de 565 personas solicitaron la eutanasia el año pasado en España
- 20 minutosMás de 550 personas se acogieron a la eutanasia en España durante 2025, según el Ministerio de Sanidad
- eldiario.esSanidad sitúa a Cantabria entre las comunidades con la tasa más alta de solicitudes de eutanasia
- Natalia Pérez Arango
- Subdirectorate of Healthcare Quality, presented the 2025 euthanasia report
- Mónica García
- Minister of Health, closed the conference
- Places
- Madrid
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