Gregory E. Simon, MD, MPH

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“We bring a practical approach to mental health research, working to break down barriers between research and real-world health care.”

Gregory E. Simon, MD, MPH

Senior Investigator, Kaiser Permanente Washington Health Research Institute
Psychiatrist, Washington Permanente Medical Group
Professor, Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine
Research Professor, Psychiatry and Behavioral Sciences, University of Washington

Biography

Greg Simon, MD, MPH, is a psychiatrist and senior investigator well-known for his extensive research on practical approaches to improving mental health care. He seeks to develop and evaluate effective real-world strategies that support better mental health and wellness.  Current areas of emphasis include identifying and assessing suicide risk, improving care for treatment-resistant depression, and reducing racial and ethnic disparities in mental health care.

Dr. Simon leads the Mental Health Research Network (MHRN), a consortium of research centers affiliated with 13 large health systems across the United States, including Kaiser Permanente Washington. This network, originally funded through a cooperative agreement with the National Institute of Mental Health, aims to improve the efficiency, relevance, and impact of mental health clinical and health services research. The MHRN is exploring a broad range of issues—including suicide prevention, improving heart health in people with serious mental illness, using electronic medical records to improve follow-up care for depression, and understanding the causes of racial and ethnic disparities in mental health care.

Dr. Simon and his MHRN colleagues have conducted several large studies across MHRN health systems, including:

  • A pragmatic trial in four health systems examining the effect of systematic outreach programs to prevent suicide attempt among people at high risk.
  • Using electronic health records from seven health systems to develop and validate machine learning models to identify people at high risk of suicidal behavior.
  • A pragmatic trial in two health systems evaluating electronic health record tools to reduce risk of cardiovascular disease in people with bipolar disorder and schizophrenia.
  • A rigorous evaluation of Zero Suicide care improvement programs in six health systems
  • Developing measures to assess quality of care for depression in two health systems.

Dr. Simon sits on the editorial board for the journal General Hospital Psychiatry, and co-chairs the National Academy of Medicine’s Forum on Drug Discovery, Development and Translation.. Dr. Simon has practiced adult psychiatry in Kaiser Permanente Washington's Mental Health and Wellness Service since 1990.  He is also a professor in the department of Health Systems Science at the Bernard J Tyson Kaiser Permanente School of Medicine and an adjunct  professor inPsychiatry and Behavioral Dciences at the University of Washington.​​​

Research interests and experience

  • Mental Health

    Depression; bipolar disorder; suicide prevention; self-management; treatment adherence

  • Chronic Illness Management

    Comorbidity of mental health conditions with obesity, diabetes, heart disease, and substance use disorders.

Recent publications

Richards JE, Hohl SD, Segal CD, Grossman DC, Lee AK, Whiteside U, Luce C, Ludman EJ, Simon G, Penfold RB, Williams EC. "What will happen if I say yes?" perspectives on a standardized firearm access question among adults with depressive symptoms. Psychiatr Serv.2021 Aug 1;72(8):898-904. doi: 10.1176/appi.ps.202000187. Epub 2021 May 4. PubMed

Watanabe JH, Simon GE, Horberg M, Platt R, Hernandez A, Califf RM. When are treatment blinding and treatment standardization necessary in real-world clinical trials? Clin Pharmacol Ther. 2022 Jan;111(1):116-121. doi: 10.1002/cpt.2256. Epub 2021 May 2. PubMed

Coley RY, Johnson E, Simon GE, Cruz M, Shortreed SM. Racial/ethnic disparities in the performance of prediction models for death by suicide after mental health visits. JAMA Psychiatry. 2021 Apr 28:e210493. doi: 10.1001/jamapsychiatry.2021.0493. [Epub ahead of print]. PubMed

Hecht LM, Yeh HH, Braciszewski JM, Miller-Matero LR, Thakrar A, Patel S, Simon GE, Lynch FL, Beck A, Owen-Smith AA, Rossom RC, Waitzfelder BE, Lu CY, Boggs JM, Ahmedani BK. Weighing the association between BMI change and suicide mortality. Psychiatr Serv. 2021 Apr 22:appips202000475. doi: 10.1176/appi.ps.202000475. [Epub ahead of print]. PubMed

Simon GE, Stewart CC, Gary MC, Richards JE. Detecting and assessing suicide ideation during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2021 Apr 22:S1553-7250(21)00095-7. doi: 10.1016/j.jcjq.2021.04.002. Online ahead of print. PubMed

Whiteside U, Richards J, Simon GE. Brief interventions via electronic health record messaging for population-based suicide prevention: mixed methods pilot study.  JMIR Form Res. 2021;5(4):e21127. doi: 10.2196/21127.  PubMed

Franklin JM, Platt R, Dreyer NA, London AJ, Simon GE, Watanabe JH, Horberg M, Hernandez A, Califf RM. When can nonrandomized studies support valid inference regarding effectiveness or safety of new medical treatments? Clin Pharmacol Ther. 2021 Apr 7. doi: 10.1002/cpt.2255. [Epub ahead of print]. PubMed

Simon GE, Matarazzo BB, Walsh CG, Smoller JW, Boudreaux ED, Yarborough BJH, Shortreed SM, Coley RY, Ahmedani BK, Doshi RP, Harris LI, Schoenbaum M. Reconciling statistical and clinicians' predictions of suicide risk.  Psychiatr Serv. 2021 Mar 11:appips202000214. doi: 10.1176/appi.ps.202000214. [Epub ahead of print]. PubMed

Harry ML, Coley RY, Waring SC, Simon GE. Evaluating the cross-cultural measurement invariance of the PHQ-9 between American Indian/Alaska native adults and diverse racial and ethnic groups. J Affect Disord Rep. 2021 Apr;4:100121. doi: 10.1016/j.jadr.2021.100121. Epub 2021 Feb 22. PubMed

Prabhakar D, Peterson EL, Hu Y, Chawa S, Rossom RC, Lynch FL, Lu CY, Waitzfelder BE, Owen-Smith AA, Williams LK, Beck A, Simon GE, Ahmedani BK. Serious suicide attempts and risk of suicide death.  Crisis. 2020 Nov 5:1-8. doi: 10.1027/0227-5910/a000729. [Epub ahead of print]. PubMed

 

Research

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Suicide attempts decreased after adding suicide care to primary care

Safety planning and risk screening improved outcomes for adult patients.

Research

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Can machine learning help treat depression more effectively?

A new grant funds modeling work to make personalized treatment possible.

Research

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Understanding adoption of Lock to Live, a decision aid supporting suicide prevention

KPWHRI research finds ways to increase use of a firearm safety tool.

Research

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A medication that can relieve symptoms of psychosis is underused

Study finds that many patients who might benefit from clozapine don’t receive it.

Research

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Improving and advancing mental health care

KPWHRI researchers are contributing to better mental health care for people nationwide.