What is hikikomori?
Hikikomori (Japanese for "withdrawing") describes avoiding schooling, work and friendships and remaining largely at home for six months or more (Japan MHLW guideline, 2010). It names a condition, not a diagnosis. Psychiatrist Saitō Tamaki brought it to public attention in 1998.
- Definition
- Social withdrawal for ≥6 months
- Nature
- A state, not a disorder
- Japan estimate
- ~1.46 million aged 15–64 (2022 survey)
- Korea
- Isolated and reclusive youth
Prevalence
Japan’s Cabinet Office 2022 survey (published March 2023) found 2.05% of 15–39-year-olds and 2.02% of 40–64-year-olds in broad hikikomori, about 1.46 million people, citing retirement, relationships and COVID-19 as triggers. In Korea, researchers estimated up to about 540,000 isolated or reclusive youth aged 19–34 (KIHASA, 2023); the government announced a support plan in December 2023 and piloted Youth Future Centers from 2024.
The 8050 problem
Long-term withdrawal has produced households where parents in their 80s support children in their 50s, risking crisis and lonely deaths when parents die or need care.
Hikikomori is closer to being stuck than being lazy. Shame, anxiety and past failures close the way back; pressure often closes the door further.
What families can do
- Reduce criticism; high expressed emotion slows recovery.
- Keep low-pressure daily contact.
- Seek help first as a family through counseling and psychoeducation, including CRAFT-based programs.
- Protect the family’s own life to avoid burnout.
Support
Korea’s Youth Future Centers and community mental health centers; Japan’s regional hikikomori support centers.
Frequently asked questions
- Is hikikomori a mental illness?
- It is a condition; depression or anxiety may co-occur, so assessment helps.
- Does going to a convenience store rule it out?
- No; Japan’s definition includes outings without social interaction.
- Should families force them out?
- Coercion usually backfires; start with family counseling.
References
- 斎藤環 (1998). 『社会的ひきこもり:終わらない思春期』. PHP新書.
- 厚生労働省 (2010). 『ひきこもりの評価・支援に関するガイドライン』.
- 内閣府 (2023). 『こども・若者の意識と生活に関する調査(令和4年度)』. https://www.cfa.go.jp/resources/research/chilren-attitudes
- Kato, T. A., Kanba, S., & Teo, A. R. (2019). Hikikomori: Multidimensional understanding, assessment, and future international perspectives. Psychiatry and Clinical Neurosciences, 73(8), 427–440.
