It's not always easy to give a helping hand or recognise it being able to accept it.
We have an expression: Voor wat, hoort wat (meaning that if someone gives you a hand you have to repay the favour and you never know what that favour will be...

Next to that there are not only many abusive people but as many who don't want to be a burden to someone else with the result it will be hard to crawl out of a pit. Only those with a strong character can.