We did this on Ice Pirates, to suspend the electronics into the cast guns, so the electronics were in the middle of the cast part, but the LED lights were at the surface of the casting. This allowed the LED's to be flush with the surface of the cast urethane prop, and be nearly invisible until they lit up. You can use very tiny wire (one strand of multistrand 16 ga. electrical wire), in a "U" shape, hot glue this at the bottom of the "U" to the edge of an item you want to suspend at the surface of the finished part. Stick the overhanging u shaped wire legs into the silicone mold. This will hold the item against the surface of the silicon mold. If you need to you can use multiples of these fine wire "staples". Then cast your part. When you demold the cast part, the two ends of the wires will be sticking out. Grab one of them with pliers and pull the u shaped wire out. Because of the "U" shape, the whole wire should pull out easily.
If you want to suspend something in the middle of you cast, glue at least two lengths of sewing thread, in at least two locations to the object, so there is thread extending from both sides of the item to be suspended. Then make four cuts in the mold seam that align with the two thread ends, two on each side of the mold cavity, so they are deep at the outside edge of the mold, and shallow, or at the surface of the seam, where the mold cavity begins. Use the threads pulled down into these grooves, to suspend you item into the center of the mold cavity. If you need to, you can tie the threads together on the backside of the mold. Then cast your part. One demolded, just cut the threads of the surface of your cast part. We use this technique to suspend stiffening armatures in rubber parts all the time.