With the rapid expansion of personal mobility (PM) devices as urban transport alternatives, the associated safety risks have increased significantly. Although previous studies have offered insights into user behavior and accident traits, more integrated approaches that consider spatial and administrative contexts are required to better understand the factors affecting accident severity. This study investigated the factors influencing accident severity involving PM devices in Seoul, South Korea by employing a cross-classified multilevel model (CCMM) to account for both police jurisdiction and regional characteristics. Analyzing the 2021 data from the Traffic Accident Analysis System (TAAS), the model showed strong validity (ICC: 15.8%, DIC: 697.2), outperforming the logistic and hierarchical models. Key predictors of higher severity included crashes in non-standard areas (e.g., other than single roads or intersections), helmet non-use, and older age of victims and perpetrators. Violations, such as exceeding passenger capacity, were negatively associated with severity. Industrial areas and high subway station densities reduced the severity, reflecting the benefits of pedestrian-friendly infrastructure. Larger areas covered by police officers significantly increased the severity, revealing enforcement limitations. The 2021 Road Traffic Act revision has had no statistically significant impact. These results highlight the need for integrated policies that combine infrastructure improvements, enhanced enforcement, and behavioral changes to reduce the severity of PM-related accidents in urban environments.