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Mental health problems account for 12% of the global burden of disease [1]. Some mental and behavioral disorders are age-specific, such as dementia and people feeling suicidal as a result of their advanced age. The prevalence of dementia increases exponentially with age [2]. The risk of developing dementia doubles every 5-7 years of age after age 65. According to Chiu et al., [3], the suicide rate for people aged 65 is around 30 per 100,000, rising to 50 per 100,000 for those aged over 80. In addition, 86% of elderly people who committed suicide suffered from a mental health problem, with major depression being the common diagnosis [4]. In view of the progressive nature of dementia, treatment at the early stage of the illness is important. Meanwhile, suicide is a preventable death because depression is treatable. Older adults who received treatment for depression, their depressive symptoms were significantly reduced [5,6]. This means that effective early detection and intervention is beneficial for older adults with mental healthcare needs.

Implementation of a Psychiatric Nurse-Led Outreach Service at Older Adult Homes: A Hong Kong Experience