Self-reported near-death and near-death-like experiences in a Chinese online sample: an exploratory mixed-methods study

Abstract

IntroductionNear-death experiences (NDEs) are subjective experiences reported during actual or perceived life-threatening situations, whereas near-death-like experiences may occur in non-life-threatening altered states. Empirical data from Chinese populations remain limited, particularly regarding culturally specific narrative content.MethodsThis exploratory mixed-methods study examined self-reported NDEs and NDE-like experiences in a Chinese online convenience sample. Participants recruited through Chinese social media completed an online survey comprising sociodemographic questions, the Chinese Near-Death Experience Content (NDE-C) scale, and an open-ended narrative question. Quantitative analysis included 63 participants: 23 NDE cases, 25 NDE-like cases, and 15 below-threshold comparison cases. All classifications were based on self-report. Qualitative thematic analysis was conducted on 48 valid narratives.ResultsSelf-reported NDE and NDE-like narratives shared recurrent features, including out-of-body experiences, bright light, bodily sensations, emotional changes, and altered perceptual content. Compared with NDE-like narratives, NDE narratives showed descriptively higher frequencies of peaceful emotions, encounters with entities, deceased loved ones or spiritual entities, personal insights, panoramic life review, and culturally specific Chinese imagery. Chinese cultural motifs were infrequent overall, occurring in four of 23 NDE narratives and one of 25 NDE-like narratives. These motifs included Guimen Pass, Black and White Impermanence, Lord Chenghuang, reincarnation, karmic judgment, and underworld-related imagery.DiscussionBecause this study relied on retrospective self-report, an online convenience sample, and unverified medical contexts, the findings should be considered preliminary and hypothesis-generating. The findings provide localized exploratory evidence that Chinese self-reported NDE narratives may combine recurrent NDE-related features with culturally specific symbolic content.

In the evidence

This study is part of the evidence base for a synthesis in the library. Here is how each one recorded it.

• State of the evidence: Near-death experience ↑Supports

  Self-reported NDE and NDE-like narratives shared recurrent features, with NDE narratives descriptively showing more peaceful emotions, entity encounters, life review, and culturally specific imagery, though cultural motifs were infrequent.

  Synthesized October 19, 2026

Comparable studies

Other qualitative studies on near-death experience, most cited first.