Examined community attitudes toward auditory hallucinations in Saudi Arabia and the UK concerning (1) causes of auditory hallucinations, (2) the efficacy of interventions and (3) levels of social rejection. 281 patients (131 UK, 150 Saudi Arabia) attending general practices completed questionnaires. The responses indicated that those living in Saudi Arabia were most likely to believe that hallucinations are caused by Satan or due to magic, while the UK sample were more likely to cite schizophrenia or brain damage. While the Saudi sample believed that religious assistance would be most effective, the UK sample supported medication and psychological therapies. Beliefs about etiology and treatment were unrelated to educational attainment. There was a greater degree of social rejection of patients in Saudi Arabia, but educational attainment was of significance.