When i was traveling and posted on the couch surfing forums about my travel plans I was messaged by some girl(!) who was very insisted that i drop by on my way. Later she started to make moves on me.
(Can't really blame her, i am often mistaken for a young George Clooney.)
However my other experiences where always good. Usually got hosted by people who live alone and just want to exchange travel stories or talk to new people, or maybe because they live in a small town where not much happens entertainment-wise.
I usually cross-check the name+city, email, phone number, nick on Google or have a look at the neighborhood on street view to get an idea what sort of person and environment it is.
I would not give too much about the user reviews. This is because, if you had a bad experience with a host you would not give him a negative review, or he might give you a bad review in return and rather just don't rate the other user at all. Maybe if you work out the percentage of reviews vs. # of hosts/visits he had, it can give you a better perspective.
Fun fact: statistics suggest that you are much more likely to die because of diseases like heart disease or cancer than by unintentional injuries such as car accidents or hostile couch-surfing hosts.
So my advice would be: Go couchsurfing and be nice and respectful, but learn CPR and always wear a seat belt and suncreen :)