A Working Checklist for Loneliness and Ageing
Loneliness and Ageing: what is worth doing, what is worth avoiding, and when to stop and see a doctor.
The gap between the social connection someone has and the connection they want, in later life. It is associated with worse cardiovascular and cognitive outcomes, independently of how many people someone actually sees.
Key takeaways
- Associated with: raised cardiovascular risk, depression and cognitive decline
- Social prescribing: available through many GP practices
- Most useful single change: Ask a GP about social prescribing and local link workers.
- Commonest mistake: Assuming it reflects something wrong with you.
- See a doctor if any of the signs under "When to speak to a doctor" below apply to you.
Do
- Ask a GP about social prescribing and local link workers
- Treat hearing loss, which is a common hidden driver
- Choose regular structured contact over occasional large events
- Volunteer, which creates contact with a purpose attached
Do not
- Assuming it reflects something wrong with you
- Withdrawing further as activities become harder
- Waiting to feel like socialising before arranging anything
The numbers behind the list
The reasoning behind both lists, in numbers.
| Measure | Figure |
|---|---|
| Associated with | raised cardiovascular risk, depression and cognitive decline |
| Social prescribing | available through many GP practices |
| Hearing loss | a major contributor to social withdrawal |
| Most affected groups | people over 75 and young adults |
If you change one thing
Ask a GP about social prescribing and local link workers. It is first on the list above. If the rest feels like too much at once, start there and leave the others.
Where to go next
- Answers to the Common Questions on Loneliness and Ageing
- Loneliness and Ageing at a Glance
- Loneliness and Ageing — the reference entry
- Continence: Sorting the Evidence From the Noise
- Staying Independent: What the Evidence Actually Says
When to speak to a doctor
See a GP if loneliness comes with low mood lasting more than two weeks, loss of interest in things you enjoy, or changes in sleep or appetite. If you have thoughts of harming yourself, contact your GP, call NHS 111, or call the Samaritans free on 116 123 at any hour.
Where this comes from
How this page was put together
Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.
Medical disclaimer
This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.
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