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 early intervention for mental health conditions in children and youth.

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, 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. Now in its second five-year funding cycle, 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 are conducting 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 is an editor for the Cochrane Collaboration’s depression and anxiety review group, sits on the editorial board for General Hospital Psychiatry, and serves on the advisory board for the National Institutes of Health’s All of Us Program (formerly Precision Medicine Initiative).   Earlier, he served on the editorial boards of Psychiatric Services and Psychological Medicine and chaired the scientific advisory board for the Depression and Bipolar Support Alliance. Dr. Simon has practiced adult psychiatry in Kaiser Permanente Washington's Mental Health and Wellness Service since 1990 and is a research professor in psychiatry and behavioral sciences 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

Rosenblat JD, Simon GE, Sachs GS, Deetz I, Doederlein A, DePeralta D, Dean MM, McIntyre RS. Treatment effectiveness and tolerability outcomes that are most important to individuals with bipolar and unipolar depression.  J Affect Disord. 2019;243:116-120. doi: 10.1016/j.jad.2018.09.027. Epub 2018 Sep 12.  PubMed

Simon GE, Johnson E, Lawrence JM, Rossom RC, Ahmedani B, Lynch FL, Beck A, Waitzfelder B, Ziebell R, Penfold RB, Shortreed SM. Predicting suicide attempts and suicide deaths following outpatient visits using electronic health records.  Am J Psychiatry. 2018 May 24:appiajp201817101167. doi: 10.1176/appi.ajp.2018.17101167. [Epub ahead of print]. PubMed

Ludman EJ, Simon GE, Whiteside U, Richards JE, Pabiniak C. Reevaluating sensitivity of self-reported suicidal ideation. J Clin Psychiatry. 2018 May/Jun;79(3). pii: 17l12017. doi: 10.4088/JCP.17l12017. PubMed

Lu CY, Simon G, Soumerai SB. Counter-point: staying honest when policy changes backfire. Med Care. 2018 May;56(5):384-390. doi: 10.1097/MLR.0000000000000897. PubMed

Lu CY, Simon G, Soumerai SB, Kulldorff M. Counter-point: early warning systems are imperfect, but essential. Med Care. 2018 May;56(5):382-383. doi: 10.1097/MLR.0000000000000896. PubMed

Lu CY, Penfold RB, Toh S, Sturtevant JL, Madden JM, Simon G, Ahmedani BK, Clarke G, Coleman KJ, Copeland LA, Daida YG, Davis RL, Hunkeler EM, Owen-Smith A, Raebel MA, Rossom R, Soumerai SB, Kulldorff M. Near real-time surveillance for consequences of health policies using sequential analysis.  Med Care. 2018 May;56(5):365-372. doi: 10.1097/MLR.0000000000000893. PubMed

Coleman KJ, Johnson E, Ahmedani BK, Beck A, Rossom RC, Shortreed SM, Simon GE. Predicting suicide attempts for racial and ethnic groups of patients during routine clinical care. Suicide Life Threat Behav. 2019 Jun;49(3):724-734. doi: 10.1111/sltb.12454. Epub 2018 Mar 24. PubMed

Lin Y, Huang S, Simon GE, Liu S. Data-based decision rules to personalize depression follow-up. Sci Rep. 2018 Mar 22;8(1):5064. doi: 10.1038/s41598-018-23326-1. PubMed

Boggs JM, Beck A, Hubley S, Peterson EL, Hu Y, Williams LK, Prabhakar D, Rossom RC, Lynch FL, Lu CY, Waitzfelder BE, Owen-Smith AA, Simon GE, Ahmedani BK. General medical, mental health, and demographic risk factors associated with suicide by firearm compared with other means.  Psychiatr Serv. 2018 Jun 1;69(6):677-684. doi: 10.1176/appi.ps.201700237. Epub 2018 Feb 15. PubMed

Waitzfelder B, Stewart C, Coleman KJ, Rossom R, Ahmedani BK, Beck A, Zeber JE, Daida YG, Trinacty C, Hubley S, Simon GE. Treatment initiation for new episodes of depression in primary care settings. J Gen Intern Med. 2018 Feb 8. pii: 10.1007/s11606-017-4297-2. doi: 10.1007/s11606-017-4297-2. [Epub ahead of print]. PubMed

 

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.

New findings

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Simpler models to identify suicide risk perform similarly to more complex ones

Models that are easier to explain, use could have better uptake in health care settings.

Research

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Asking about firearm access can normalize and support dialogue for patients

Findings provide roadmap for addressing barriers and improving suicide prevention.

KPWHRI In the Media

Understanding rise in youth emergency visits for mental health

Rise in suicide-related ED visits among youth raises larger questions around mental health care

STAT News, May 2, 2023