Turning off the Ignition: A Scoping Review on the Impact of Relinquishing or Having a Driver’s License Revoked on the Mental Health and Well-Being of Those Individuals Aged 65 and Older

For many older adults, especially in rural areas with limited transport options, driving is key to independence. Losing the ability to drive can significantly impact their mental health and well-being. This scoping review examined the impact of relinquishing or having a driver's license revoked on the mental health and well-being of individuals aged 65 and older. In December 2024, a detailed electronic search was completed across PubMed, CINAHL, and Google Scholar, identifying 18 studies that met the inclusion criteria. Findings consistently demonstrated that driving cessation was associated with increased depressive symptoms, anxiety, social isolation, and decreased out-of-home activities. The psychological impact varied based on whether cessation was voluntary or imposed, with planned transitions resulting in better outcomes. Gender differences were notable, with men experiencing steeper declines in physical functioning and stronger associations between driving cessation and mortality compared to women. Geographic location significantly influenced post-cessation experiences, with rural residents facing greater challenges due to limited transportation alternatives. Access to reliable alternative transportation and strong social support networks emerged as critical factors that mitigated negative outcomes. This review highlights the need for comprehensive support strategies addressing both practical mobility needs and the psychosocial well-being of older adults transitioning from driving to non-driving.