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Updated: Apr 16, 2026

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The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
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Resident-to-Resident Abuse: A Scoping Review
Lynn McDonald1, Christine Sheppard1, Sander L Hitzig2
1Factor-Inwentash Faculty of Social Work,University of Toronto.
Summary
Resident-to-resident abuse in long-term care (LTC) homes is a significant issue. This scoping review highlights the need for increased awareness and action to address this form of aggression between residents.
Area of Science:
- Gerontology
- Public Health
- Criminology
Background:
- Resident-to-resident abuse, characterized by aggression and violence between long-term care (LTC) residents, poses serious risks.
- The prevalence and scope of this issue in Canada remain under-examined.
Purpose of the Study:
- To systematically review and understand resident-to-resident abuse in Canadian LTC homes.
- To analyze existing data on the incidence of this abuse.
Main Methods:
- A comprehensive scoping review was conducted using nine electronic literature databases.
- A redacted Canadian dataset on resident-to-resident abuse was analyzed.
- Inclusion criteria were applied to 784 initially identified abstracts, resulting in 32 qualifying records.
Main Results:
- Only 14 of the 32 included records focused exclusively on resident-to-resident abuse.
- Retrospective case studies, qualitative studies, and reviews/commentaries constituted the majority (75%) of the relevant literature.
- The Canadian dataset indicated that resident-to-resident abuse accounts for approximately one-third of all reported abuse cases.
Conclusions:
- Resident-to-resident abuse is a substantial problem within Canadian LTC facilities.
- Recommendations are provided for future research, clinical practice, and policy development to mitigate this issue.
- Increased awareness and targeted interventions are crucial to reduce the incidence of resident-to-resident abuse.
Keywords:
étude de délimitation de l'étendue
