Abstract：
Background: Sometimes during real or presumed life-threatening and/or near-death circumstances, an individual undergoes an altered state of consciousness referred to as a near-death experience (NDE). The prevalent position in the field of NDE research for the last several decades has been that such experiences result in positive antisuicidal attitudes and that it is highly unlikely that experients will try to kill themselves afterward. In addition, the important consideration of passive suicidal ideation is neglected in NDE research. Aims: To question the premature assumption that people are highly unlikely to die by suicide after an NDE. Method: Four case studies of suicide after an NDE are provided and examined. Results: Although important quantitative data are still needed, it can no longer be argued that people do not die by suicide after an NDE. Limitations: Only four cases were available for examination, and the degree of impact that the NDE had on their suicide is uncertain. Conclusion: Much more research is needed on suicide risk post NDE. In the meantime, the NDE should not be ignored in suicide assessments, but therapists and other relevant professionals need to be attentive to any possible indications of either active or passive suicidal ideation post NDE.
摘要：
背景：有时在真实或假定危及生命和/或濒临死亡的情况下，一个人经历了一种被称为濒死体验（NDE）的意识状态的改变。在过去的几十年中，NDE研究领域的普遍地位是，这种经历会导致积极的反自杀态度，并且经验者随后不太可能试图自杀。此外,在NDE研究中忽略了被动自杀意念的重要考虑。目的：质疑人们在NDE后极不可能死于自杀的过早假设。方法：提供并检查了四个NDE后自杀的案例研究。结果：尽管仍需要重要的定量数据，不能再争辩说人们在NDE后不会死于自杀。局限性：只有四例可供检查，NDE对他们自杀的影响程度是不确定的。结论：NDE后的自杀风险需要更多的研究。同时,NDE在自杀评估中不应该被忽视，但是治疗师和其他相关专业人员需要注意NDE后主动或被动自杀意念的任何可能迹象。
