Near death experiences (NDEs) reported after a non-life-threatening event (NDE-like) are similar in intensity and content to those occurring after a pathological coma (real NDE). In a retrospective analysis of 190 reports meeting the Greyson NDE scale threshold (score >7/32), the most common feature was peacefulness (89-93%), and only 1% recounted a negative experience. The intensity and features did not differ between NDE-like and real NDE groups, nor among coma causes (anoxic, traumatic, other). However, the core features were more frequently reported in this retrospective anoxic cohort compared to historical prospective data, suggesting that retrospective recall may shape the experience's content.
A new scale, the veridical Near-Death Experience Scale (vNDE Scale), was developed to assess how strong the evidence is for perceptions reported during near-death experiences. Thirteen experts used a Delphi method to agree on eight criteria, including timing of investigation, medical conditions, third-party verification, and the number and quality of perceptions, scored on a four-level Likert scale. The scale was then tested on 17 cases of potentially veridical NDEs by 11 human raters and three artificial raters using large language models. In 14 of the 17 cases (82.3%), human and artificial raters agreed at over 75% when considering two adjacent evidence levels, such as moderate plus strong or low plus very low. The scale offers a practical way to evaluate the evidential strength of reported NDE perceptions.
A new scale, the veridical Near-Death Experience Scale (vNDE Scale), was developed to assess how strong the evidence is for perceptions reported during near-death experiences. Experts in near-death experiences reached consensus on eight criteria covering timing, medical conditions, third-party verification, and the type and quality of perceptions, scored on a four-level Likert scale. When 11 human raters and three artificial raters using large language models applied the scale to 17 cases, overall agreement between human and artificial judges exceeded 75% in 14 of the 17 cases (82.3%), considering adjacent levels of evidence strength. The scale offers a practical way to evaluate the evidential strength of such perceptions.
Memories of near-death experiences (NDEs) are usually emotionally positive, but this study compared NDEs in 8 patients with locked-in syndrome (LIS) from acute brainstem lesions to 23 classical NDE experiencers after coma with supratentorial lesions. LIS NDEs less frequently included feelings of peacefulness or well-being. The findings suggest that NDEs with less positive emotions may stem from impaired pontine/paralimbic connectivity or from the emotional distress of being conscious while paralyzed.