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Barriers and facilitators to mental health care access and engagement for LGBTQA+ people with psychosis: A scoping review

LGBTQA+ individuals are at increased risk of experiencing psychosis and face barriers in accessing appropriate and timely mental health support. This scoping review maps the existing literature to identify barriers and facilitators to access and engagement to care for LGBTQA+ people across the psychosis spectrum. 

Citation:
Gonçalves CC, Waters Z, Quirk SE, et al. Barriers and facilitators to mental health care access and engagement for LGBTQA+ people with psychosis: A scoping review. Psychiatry Res. 2025;343.

Keywords:
LGBT; Mental health; Psychotic experiences; Schizophrenia; Sexual and gender minorities; Stigma; Ultra-high risk

Abstract:
LGBTQA+ individuals are at increased risk of experiencing psychosis and face barriers in accessing appropriate and timely mental health support. This scoping review maps the existing literature to identify barriers and facilitators to access and engagement to care for LGBTQA+ people across the psychosis spectrum.