I believe that normal acoustic smoke alarms present pretty minimal risks as long as they are properly mounted and at a reasonable decibel level.
Every horror story I've ever seen has involved either: somewhat sustained exposure right at ear-level from a nearby device, industrial-scale alarms as you have in huge buildings, or both.
Since my tinnitus got significantly worse following an acoustic trauma in 2010, I've been exposed to routine civilian smoke and fire alarms a half dozen times, once at near head level for a period of a couple minutes while I was protecting my kid's ears and trying to get something to stop smoking; none of these exposures has caused me even temporary problems.
Your risk calculus may be different, but I heat my house with wood fires and have a child, so, fire alarms are not really optional (even though they are, in terms of as a matter of law). We have a smoke alarm in our room over the bed, but it's ~6' in the air, keeping it ~8' from my head. The loudest alarms I'm aware of are 120db at ~6" from source -- that's much louder than you need for home (and louder than ours), but that means they are 114db at 12", 108db at 24", 102db at 48".
I wouldn't want 120db blasted right into my ear for any length of time; short term exposure to 100db scares me far less than not having enough notice to get our family out of a burning house. Usually by the time you wake up from smelling smoke (if you do at all) it's much too late.
Many civilian alarms are marketed as "85db at 10'", which would imply to me they are 91db at 5', 97db at 2.5', 103 db at 1.25', 109db at 0.75', 115db at 0.3525'. So, these are probably around that 120db at source.
The trick here is just to mount the device in such a place that you will never be closer to 10' from where it is when it goes off. This likely also means you won't have a straightforward way to reset it / turn it off, without getting a step stool or something, but if you just keep a pair of earmuffs hanging on the wall that you can grab, then you can put muffs on as you go to disable the alarm (or, just flee the building if it's actually on fire).
@Bartoli do you drive a car with airbags? Airbag deployment is pretty much guaranteed to be more of an acoustic shock than a fire alarm, and yes we've had some discussion around here about disabling them. I think that's silly, but, I've had my life saved by airbags a couple times so that colors things. One of these deployments (or whiplash from the accident) may have been a causative factor in my tinnitus, but, I'd rather be here with a beep and an incessant 14khz whine in my head than dead, or worse, severely brain damaged but not dead.