Near-death experiences (NDEs), transcendental or mystical events experienced on the threshold of death, have been speculated to arise from psychopathology or from pre-existing expectations of the dying process, although such speculations have never been tested. Sixty-one consecutive suicide attempters were interviewed in this empirical study of persons who would be expected to have a high rate of both psychopathology and coming close to death; 16 (26%) reported near-death experiences (NDEs) as a result of the attempt. The group reporting NDEs and the group not reporting NDEs did not differ from each other in any parameters measuring psychopathology, religious background, or expectations of death and dying.Reports of near-death experiences (NDEs), subjective events with transcendental or mystical elements that some persons experience when close to death, suggest that study of these phenomena may yield insights into the psychodynamics of our concepts of death and dying (Greyson, 1983)
JOURNAL OF NEAR-DEATH STUDIEShowever, few empirical studies of NDEs among suicide attempters have been conducted.It has been speculated that NDEs arise as a manifestation of psycho pathology (Greyson and Harris, 1987) or fulfillment of prior expecta tions of the dying process (Greyson, 1983). Although these hypotheses are contradicted by anecdotal data (Sabom, 1982), they have yet to be tested systematically. An analysis of the psychological meaning and value of the NDE must take into account the role of psychopathology and expectancy in these experiences.I previously reported the incidence of NDEs among an unselected sample of consecutive suicide attempters to be 26%, and the finding that NDEs among that sample were not related to age, gender, or race (Greyson, 1986). In the present paper, I describe these patients' prior evidence of psychopathology, religious background, and expectations of death and dying. I then describe the relation of those factors to the occurrence of NDEs following the suicide attempt, and discuss the implications of these data for hypotheses about the NDE.
MethodSixty-one consecutive suicide attempters admitted to the University of Michigan Hospital were given a structured interview exploring demographic and historical data, including prior psychiatric treatment and suicidal behavior; family history of suicidal behavior; religious background; expectations of death and dying prior to the attempt; and