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Factors Influencing Individuals' Hesitation to Provide First Aid in Emergencies
Suliman Hadadi1, Nawaf Alnuwaysir1, Talal Almadani1
1Department of Community Health Sciences, King Saud University, Riyadh, SAU.
Cureus
|January 2, 2026
Summary
Many hesitate to provide first aid due to fear of infection and legal issues, despite training. Integrating first aid education in schools and workplaces is crucial for community preparedness.
Area of Science:
- Emergency Medicine
- Public Health
- Social Psychology
Background:
- First aid is a critical life-saving skill.
- Bystander intervention during emergencies is often hindered by psychological, social, and consequential barriers.
- Understanding these barriers is essential for improving community response to medical emergencies.
Purpose of the Study:
- To investigate the factors contributing to first aid hesitancy among residents in Riyadh, Saudi Arabia.
- To identify specific psychological, social, and consequential barriers preventing bystanders from administering first aid.
- To assess public support for enhanced first aid education initiatives.
Main Methods:
- A cross-sectional study involving 1,124 participants aged 18 and above in Riyadh.
- Data collection via an online questionnaire assessing demographics, first aid knowledge, experience, and perceived barriers.
- Statistical analysis to identify key factors influencing first aid hesitancy.
Main Results:
- 53% received first aid training, but only 20% were formally licensed.
- Major barriers included fear of infection (73%), discomfort with public attention (72.6%), and hesitation assisting the opposite sex (45.8%).
- Over half experienced moderate consequential barriers, like fear of legal repercussions or causing harm.
Conclusions:
- A significant gap exists between first aid awareness and practical intervention.
- Addressing barriers such as fear of infection and legal consequences is vital.
- Public support for integrating first aid education into schools and workplaces is high (93%), indicating a need for improved training and public awareness campaigns to boost confidence and action during emergencies.
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