Kerman Nick, Kidd Sean A, Voronov Joseph, Marshall Carrie Anne, O'Shaughnessy Branagh, Abramovich Alex, Stergiopoulos Vicky
Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Centre for Addiction and Mental Health, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Health Place. 2023 Sep;83:103092. doi: 10.1016/j.healthplace.2023.103092. Epub 2023 Jul 27.
The objective of this prospectively registered systematic review was to identify the factors that contribute to sense of safety, victimization, and overdose risk in homeless shelters, as well as groups that are at greater risk of shelter-based victimization. Fifty-five articles were included in the review. Findings demonstrated that fears of violence and other forms of harm were prominent concerns for people experiencing homelessness when accessing shelters. Service users' perceptions of shelter dangerousness were shaped by the service model and environment, interpersonal relationships and interactions in shelter, availability of drugs, and previous living arrangements. 2SLGBTQ+ individuals were identified as being at heightened risk of victimization in shelters. No studies examined rates of shelter-based victimization or tested interventions to improve safety, with the exception of overdose risk. These knowledge gaps hinder the establishment of evidence-based practices for promoting safety and preventing violence in shelter settings.
这项前瞻性注册的系统评价的目的是确定导致无家可归者收容所安全感、受害情况和过量用药风险的因素，以及在收容所中面临更大受害风险的群体。该评价纳入了55篇文章。研究结果表明，在进入收容所时，对暴力和其他形式伤害的恐惧是无家可归者的突出担忧。服务使用者对收容所危险性的认知受到服务模式和环境、收容所内的人际关系和互动、毒品的可得性以及以前的居住安排的影响。2SLGBTQ+群体被确定为在收容所中受害风险较高的群体。除了过量用药风险外，没有研究调查收容所内的受害率或测试改善安全的干预措施。这些知识空白阻碍了在收容所环境中建立促进安全和预防暴力的循证实践。
