Fall-related anxiety among wheelchair and scooter users represents a significant yet understudied barrier to maintaining active, independent lives. This psychological concern can create a destructive cycle where fear leads to reduced activity, which paradoxically increases actual fall risk while diminishing quality of life and social participation. Analysis of 137 full-time wheelchair and scooter users who had experienced falls revealed six key predictors of heightened fall concern. Recent fall-related injuries within the past year emerged as a strong predictor, suggesting that physical trauma amplifies psychological fear. Chronic dizziness showed the strongest association with fall anxiety, likely because vestibular dysfunction directly threatens the spatial awareness and balance strategies these individuals rely upon for safe mobility. Younger age and male gender unexpectedly correlated with higher fall concern, challenging assumptions that older adults are most affected. The inability to independently recover from ground-level positions also predicted greater anxiety, highlighting how functional limitations compound psychological distress. Interestingly, lower levels of depression correlated with increased fall concern, possibly indicating that individuals with better mental health awareness are more attuned to safety risks. These findings illuminate fall concern as a complex interplay of physical vulnerabilities, functional limitations, and cognitive awareness rather than a simple fear response. For rehabilitation professionals, this research suggests screening protocols should extend beyond basic fall history to include vestibular assessment, injury documentation, and functional recovery capabilities. The multifactorial nature of fall anxiety in wheelchair users demands targeted interventions that address both the physical and psychological dimensions of mobility confidence.