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The study examined perceptions of elder mistreatment (EM) and help-seeking intentions in two older Korean cohorts-residents in Korea (n = 124) and Korean immigrants (n = 124) in the United States, recruited using a quota sampling strategy. A mixed method survey utilized four hypothetical scenarios of physical, financial, and psychological abuse and neglect. A majority of participants perceived physical, financial, and psychological abuse scenarios as EM but not the neglect scenario. Multivariate analysis showed strong association between perception of mistreatment and help-seeking intention in the Korea-based cohort for all types of EM. In the immigrant cohort, help-seeking intention was associated with only the physical abuse vignette. The results suggest a need for culturally sensitive, type-specific EM interventions and education and policies on elder neglect in both countries.