Evidence map›Paper›PMID 41999074›Full record

Trial reportSuicide & life-threatening behavior2026

Increasing Safety Plan Use and Reducing Suicidal Ideation Among Emerging Adults: A Pilot Randomized Trial of the STARS Intervention.

Lily A Brown, Jennifer T Tran, Robert Gallop, Jessica L Webster, James R Wolfe, Marin M Kautz, Yiqin Zhu, Amanda Arcomano, Jennifer Ben Nathan, Lindiwe Mayinja and 6 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Suicide & life-threatening behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05018143 (Suicide Prevention Intervention for Vulnerable Emerging Adult Sexual Minorities), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05018143 nacompletednot on this map

Suicide Prevention Intervention for Vulnerable Emerging Adult Sexual Minorities

TypeinterventionalSponsorUniversity of PennsylvaniaRan2022 to 2024Enrolled64ConditionsSuicideArmsSTARS, Control condition
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Lily A BrownDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-0879-0110
Jennifer T TranDepartment of Family & Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-3007-2553
Robert GallopDepartment of Mathematics, West Chester University, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-9986-2994
Jessica L WebsterDepartment of Family & Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
James R WolfeDepartment of Family & Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-4295-5991
Marin M KautzDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Yiqin ZhuDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-9456-2375
Amanda ArcomanoDepartment of Family & Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jennifer Ben NathanDepartment of Family & Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Lindiwe MayinjaDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Alexander Azat O'ConnorDepartment of Family & Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Danielle MoweryDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
David S MandellDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Gregory K BrownDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Maria A OquendoDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
José A BauermeisterDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-9276-2306

Funding

Penn Mental Health AIDS Research CenterP30MH097488 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Karine Dube, Kelly L Jordan-Sciutto · 2013 to 2026
$23.5M
Signature ProjectP50MH127511 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BROWN, GREGORY K · 2021 to 2025
$14.4M
NIMH NIH HHS P30 MH097488NIMH NIH HHS P50 MH127511
6 · The paper itself

Abstract

introductionEmerging adult sexual and gender minorities (EA-SGM) experience disproportionately high rates of suicide. The Safety Planning Intervention can reduce suicide risk, but its effectiveness for this population may be limited without additional support. The Supporting Transitions to Adulthood to Reduce Suicide (STARS) program was developed to address this gap by integrating a mobile application and peer mentorship to promote consistent Safety Plan use.

methodsParticipants (n = 64) were randomized to receive either SPI alone or SPI plus STARS. Participants were followed for 6 months.

resultsSTARS was highly acceptable and associated with significantly greater use of the Safety Plan at 2 months compared to SPI alone. While both groups demonstrated significant reductions in suicidal ideation over time, participants in STARS showed sustained nonsignificant improvements through 6 months, whereas SPI alone experienced a slight increase after 4 months. STARS participants used their Safety Plan significantly more frequently than SPI alone (39% vs. 15% for monthly use) at 2 months.

conclusionsSTARS is a feasible and acceptable intervention that enhances Safety Plan engagement and longer-term reductions in suicidal ideation among EA-SGM. These promising findings provide preliminary support for a fully powered effectiveness trial to evaluate STARS' outcomes.

trial registrationClinicalTrials.gov identifier: NCT05018143.

Indexed as

Mobile ApplicationsSexual and Gender MinoritiesSuicidal IdeationSuicide PreventionAdolescentAdultFemaleHumansMaleMentorsPeer GroupPilot ProjectsYoung AdulteHealthemerging adultsLGBTQ+mental healthsuicide prevention

Identifiers

PMID41999074
PMCPMC13090616

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.