The United States’s relationship with Spain continues to deteriorate after the emergence of an American investigation into the state-sanctioned suicide of a sexual assault victim.

Noelia Castillo, a 25-year-old woman who survived multiple sexual assaults and a suicide attempt that left her paralyzed, was approved for voluntary euthanasia and killed last week near Barcelona. A U.S. government cable leaked on Tuesday expressed “serious concerns about the application of Spain’s euthanasia law, particularly in cases involving psychiatric conditions and non-terminal suffering.” Spain passed a right-to-die law in 2021.