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Increasing Safety Plan Use and Reducing Suicidal Ideation Among Emerging Adults: A Pilot Randomized Trial of the
Lily A Brown1, Jennifer T Tran2, Robert Gallop3
1Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Suicide & Life-Threatening Behavior
|April 18, 2026
Summary
The Supporting Transitions to Adulthood to Reduce Suicide (STARS) program, combining a mobile app and peer support, significantly improved safety plan use and reduced suicidal ideation in emerging adult sexual and gender minorities. This intervention shows promise for enhanced suicide prevention.
Area of Science:
- Mental Health
- Public Health
- Adolescent Health
Background:
- Emerging adult sexual and gender minorities (EA-SGM) face high suicide rates.
- Standard Safety Planning Intervention (SPI) may need additional support for this demographic.
- The Supporting Transitions to Adulthood to Reduce Suicide (STARS) program was developed to address this gap.
Purpose of the Study:
- To evaluate the feasibility, acceptability, and preliminary effectiveness of the STARS program.
- To compare the impact of SPI alone versus SPI plus STARS on safety plan use and suicidal ideation.
Main Methods:
- A randomized controlled trial with 64 participants.
- Participants were assigned to either SPI alone or SPI plus STARS.
- Follow-up occurred over 6 months.
Main Results:
- STARS was highly acceptable and led to significantly greater safety plan use at 2 months (39% vs. 15%).
- Both groups showed reduced suicidal ideation, with STARS demonstrating sustained nonsignificant improvements through 6 months.
- SPI alone showed a slight increase in suicidal ideation after 4 months.
Conclusions:
- STARS is a feasible and acceptable intervention for EA-SGM.
- STARS enhances safety plan engagement and promotes longer-term reductions in suicidal ideation.
- Further evaluation in a fully powered trial is warranted.
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