{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T01:19:13Z","timestamp":1793755153471,"version":"4.6.1"},"reference-count":14,"publisher":"CAIRN.INFO","issue":"HS1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,25]]},"abstract":"<jats:p>Cet article vise \u00e0 valoriser le champ des interventions communautaires en promotion de la sant\u00e9 mentale LGBTQI+, ainsi qu\u2019\u00e0 souligner l\u2019utilit\u00e9 d\u2019une analyse des tensions entre ce champ et le droit commun. Les minorit\u00e9s sexuelles et de genre sont des populations \u00e0 la fois particuli\u00e8rement vuln\u00e9rables en termes de sant\u00e9 mentale et r\u00e9ticentes \u00e0 recourir aux professionnels de sant\u00e9, de peur d\u2019\u00eatre stigmatis\u00e9es ou mal accompagn\u00e9es. Face \u00e0 cette r\u00e9alit\u00e9, les communaut\u00e9s LGBTQI+ se sont historiquement organis\u00e9es pour d\u00e9velopper des outils communautaires d\u2019auto-support adapt\u00e9s \u00e0 leurs besoins, malgr\u00e9 des moyens mat\u00e9riels insuffisants et un contexte politique international mena\u00e7ant. De par leur position en premi\u00e8re ligne, elles sont des relais essentiels \u00e0 la fois pour identifier les enjeux de sant\u00e9 mentale des publics LGBTQI+,\u00a0pour poser les premiers jalons de r\u00e9ponses adapt\u00e9es et pour faire \u00e9voluer les conditions de la prise en charge, et ce gr\u00e2ce \u00e0 la cr\u00e9ation de r\u00e9seaux de partenariats avec les professionnels de sant\u00e9 et les institutions. Cependant, la fragilit\u00e9 des dispositifs associatifs peut conduire \u00e0 un \u00e9puisement des acteur\u00b7ices de terrain souvent peu form\u00e9\u00b7es aux enjeux de sant\u00e9 mentale. L\u2019article conclut qu\u2019il est n\u00e9cessaire de prendre en compte et de soutenir\u00a0\u2013\u00a0notamment financi\u00e8rement\u00a0\u2013\u00a0des interventions communautaires LGBTQI+ dans les politiques de sant\u00e9 mentale publique, afin d\u2019\u00e9laborer des r\u00e9ponses culturellement adapt\u00e9es et socialement justes. Les structures de terrain LGBTQI+ constituent une porte d\u2019entr\u00e9e majeure de l\u2019offre de sant\u00e9 mentale publique.<\/jats:p>","DOI":"10.3917\/spub.hs1.2026.0011","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:05:49Z","timestamp":1788170749000},"page":"11-15","source":"Crossref","is-referenced-by-count":1,"title":["Sant\u00e9 mentale des minorit\u00e9s sexuelles et de genre\u00a0: les initiatives communautaires au c\u0153ur de la r\u00e9ponse de sant\u00e9 publique"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Leceo","family":"Havard","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose Babin","family":"MacKenzie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasha","family":"G\u00e9hin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Berdougo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laszlo","family":"Blanquart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Brive","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Max","family":"Cressent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timoth\u00e9e","family":"Delescluse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"France","family":"Frigot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"No\u00e9mie","family":"Pillas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanna","family":"Rincon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Girard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1. Verdier E, Firdion JM. Homosexualit\u00e9s & suicide : \u00e9tudes, t\u00e9moignages et analyse. Montblanc : H&O \u00c9ditions ; 2003. 229 p."},{"key":"rb2","unstructured":"2. Beck F, Firdion JM, Schiltz MA. Les minorit\u00e9s sexuelles face au risque suicidaire en France. Bull Epid\u00e9miologique Hebd. 2011 ; 47-48 : 508-510."},{"key":"rb3","doi-asserted-by":"publisher","DOI":"10.3109\/09540261.2015.1083949"},{"key":"rb4","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(23)00312-2"},{"key":"rb5","doi-asserted-by":"publisher","DOI":"10.4000\/books.ined.14944"},{"key":"rb6","unstructured":"6. Lydi\u00e9 N. Synth\u00e8se rapide. Ampleur et impact sur la sant\u00e9 des discriminations et violences v\u00e9cues par les personnes lesbiennes, gays, bisexuel\u00b7le\u00b7s et trans (LGBT) en France : un \u00e9tat des lieux \u00e0 partir des donn\u00e9es fran\u00e7aises. Saint-Maurice : Sant\u00e9 publique France ; 2021. 13 p."},{"key":"rb7","unstructured":"7. Martet C, Association Paris sans sida. Pour la sant\u00e9 mentale des personnes LGBTQIA+, on agit quand ? [En ligne]. Tribune Mediapart. 2023 [visit\u00e9 le 29\/07\/2025]. Disponible sur : https:\/\/blogs.mediapart.fr\/association-paris-sans-sida\/blog\/240623\/pour-la-sante-mentale-des-personnes-lgbtqia-agit-quand."},{"key":"rb8","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182211801"},{"key":"rb9","unstructured":"9. Forno N, Balem C, Roullaux L, Robert A, Iribarnegaray S, Moreau C. Construire un dispositif communautaire de sant\u00e9 mentale innovant et sur-mesure : retour sur l\u2019exp\u00e9rience de la permanence d\u2019\u00e9coute d\u2019Espace Sant\u00e9 Trans. Psychol Genre Soci\u00e9t\u00e9. 2023 ; (1)."},{"key":"rb10","unstructured":"10. Dalnoky S, Krakowski Y, N\u2019Diaye S, Fonte D, Lelaurain S. Pour une psychologie militante : entretien avec les psychologues ayant fond\u00e9 l\u2019Association pour le Soin Queer et F\u00e9ministe. 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