Isolation versus loneliness
Social isolation is an objective lack of contact and small networks; loneliness is the subjective gap between desired and actual relationships. They overlap but differ.
Legal definition
Korea's Act on the Prevention and Management of Lonely Deaths (enacted 2020, in force April 2021) defines lonely death as the death of a person living cut off from family and others, by suicide or illness, discovered after a certain time. The ministry runs a five-yearly survey and prevention plan.
Risk factors
- Living alone, divorce or bereavement, job loss and poverty
- Chronic illness and alcohol problems
- Over-representation of men in their 50s-60s
- Reclusive young adults as a newer concern
Health and policy
Holt-Lunstad and colleagues' meta-analysis linked weak social relationships to higher mortality. The UK appointed a minister for loneliness in 2018 and Japan a minister for loneliness and isolation in 2021.
Responses
Outreach systems, neighbour check-ins, smart care devices, social prescribing and ongoing case management aim at prevention through reconnection.
References
- 고독사 예방 및 관리에 관한 법률 (법률 제17966호, 2021.4.1 시행).
- 보건복지부 (2022). 『2022년 고독사 실태조사』.
- Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7(7), e1000316.
- Cacioppo, J. T., & Patrick, W. (2008). Loneliness: Human Nature and the Need for Social Connection. W. W. Norton.