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Seattle-Denver Center of Innovation (COIN)


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COIN Investigators & Staff

COIN Investigators


Joseph A Simonetti, MD, MPH
Title: Assistant Professor, Clinical Investigator, Program for Injury Prevention, Education & Research; Division of Hospital Medicine, University of Colorado
Location: Denver
University of Colorado webpage
Rocky Mountain MIRECC
See Dr. Simonetti's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials
Dr. Simonetti is a physician at the Rocky Mountain Regional VA Medical Center and investigator with the Denver-Seattle COIN and Rocky Mountain MIRECC for Suicide Prevention. His research focuses on improving access to high quality care among U.S. veterans and developing patient-centered firearm safety interventions for individuals at risk of suicide. As an educator, he works locally and nationally to support VA and community-based clinicians in delivering evidence-based and culturally competent lethal means safety counseling to at-risk Veterans.
In response to the challenges faced by many of our nation’s veterans stemming in part from their military service, the VA has developed one of the most advanced mental health treatment and suicide prevention systems in the world. Working here gives me the opportunity to work with and and learn from true experts in health services and mental health research.
My hope is that this line of work will contribute to a change in dialogue about the risks of firearm access among veterans and within their households, and for those who are at risk of firearm injury, reduce the barriers and stigma related to adopting protective firearm behaviors.

The following images visualize Dr. Simonetti's work. The word cloud is drawn from publication titles. The research collaboration map shows research relationships (click the image to enlarge):

Dr. Simonetti's publication titles indicate his primary work is firearm safety
Word cloud from pub titles
Dr. Simonetti's collaborations are primarily from the University of Colorado
Research collaboration map
The following research fields have been used to summarize Dr. Simonetti's publications and grants. The categories are based on 27 publications and 1 grants.
Publications Grants
Clinical Research Mental Health
Behavioral and Social Science Firearm Safety
Prevention Suicide Prevention
Suicide Clinical Research
Mental Health Comparative Effectiveness Research
Suicide Prevention Prevention
Health Services  
Brain Disorders  
Injury (total) Accidents/Adverse Effects  

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Recent Publications




Simonetti JA, Azrael D, Zhang W, Miller M. Receipt of clinician-delivered firearm safety counseling among U.S. Veterans: Results from a 2019 national survey. Suicide Life Threat Behav. 2022 Aug 4. doi: 10.1111/sltb.12906. Epub ahead of print. PMID: 35924483

Oslin DW, Lynch KG, Shih MC, Ingram EP, Wray LO, Chapman SR, Kranzler HR, Gelernter J, Pyne JM, Stone A, DuVall SL, Lehmann LS, Thase ME; PRIME Care Research Group, Aslam M, Batki SL, Bjork JM, Blow FC, Brenner LA, Chen P, Desai S, Dieperink EW, Fears SC, Fuller MA, Goodman CS, Graham DP, Haas GL, Hamner MB, Helstrom AW, Hurley RA, Icardi MS, Jurjus GJ, Kilbourne AM, Kreyenbuhl J, Lache DJ, Lieske SP, Lynch JA, Meyer LJ, Montalvo C, Muralidhar S, Ostacher MJ, Paschall GY, Pfeiffer PN, Prieto S, Przygodzki RM, Ranganathan M, Rodriguez-Suarez MM, Roggenkamp H, Schichman SA, Schneeweis JS, Simonetti JA, Steinhauer SR, Suppes T, Umbert MA, Vassy JL, Voora D, Wiechers IR, Wood AE. Effect of Pharmacogenomic Testing for Drug-Gene Interactions on Medication Selection and Remission of Symptoms in Major Depressive Disorder: The PRIME Care Randomized Clinical Trial. JAMA. 2022 Jul 12;328(2):151-161. doi: 10.1001/jama.2022.9805. PMID: 35819423
Learn more about this publication on Dimensions

Spark TL, Cogan CM, Monteith LL, Simonetti JA. Firearm Lethal Means Counseling Among Women: Clinical and Research Considerations and a Call to Action. Curr Treat Options Psychiatry. 2022 Jun 30:1-11. doi: 10.1007/s40501-022-00273-3. Epub ahead of print. PMCID: PMC9247955. PMID: 35791313
Learn more about this publication on Dimensions

Wortzel HS, Simonetti JA, Ryan AT, Matarazzo BB. Firearm Injury Prevention and Extreme Risk Protection Orders. J Psychiatr Pract. 2022 May 1;28(3):240-243. doi: 10.1097/PRA.0000000000000631. PMID: 35511101
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Simonetti JA, Azrael D, Zhang W, Miller M. Perspectives on clinician-delivered firearm safety counseling during routine care: Results of a national survey. Prev Med. 2022 Apr 7:107039. doi: 10.1016/j.ypmed.2022.107039. Epub ahead of print. PMID: 35398367
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Simonetti JA, Anderson ML. When the messenger affects the message: Trustworthiness in the context of COVID vaccination. J Hosp Med. 2022 Feb 26:10.1002/jhm.12803. doi: 10.1002/jhm.12803. Epub ahead of print. PMCID: PMC9088351. PMID: 35535927
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Dobscha SK, Clark KD, Karras E, Simonetti JA, Newell S, Kenyon EA, Elliott V, Boster J, Gerrity M. Development and Preliminary Evaluation of an Education Program for Primary Care Teams on Discussing Firearms Storage Safety with Veterans. J Med Educ Curric Dev. 2022 Feb 14;9:23821205221077647. doi: 10.1177/23821205221077647. PMCID: PMC8851949. PMID: 35187264
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Leonard C, Kenney RR, Lee M, Greene P, Whittington M, Kirsh S, Ho PM, Sayre G, Simonetti J. Common Ground: Primary Care and Specialty Clinicians' Perceptions of E-Consults in the Veterans Health Administration. Fed Pract. 2022 Jan;39(1):42-47b. doi: 10.12788/fp.0214. Epub 2022 Jan 12. PMCID: PMC8849031. PMID: 35185320
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Simonetti JA, Wortzel HS, Matarazzo BB. Therapeutic Risk Management and Firearm-related Lethal Means Safety. J Psychiatr Pract. 2021 Nov 5;27(6):456-465. doi: 10.1097/PRA.0000000000000586.
PMID: 34768269

Clark KD, Newell S, Kenyon EA, Karras E, Simonetti JA, Gerrity M, Dobscha SK. Firearms storage safety discussions in VA primary care: Staff perspectives. Gen Hosp Psychiatry. 2021 Jul 22;72:96-101. doi: 10.1016/j.genhosppsych.2021.07.007. Epub ahead of print.
PMID: 34416678

Hoyt T, Holliday R, Simonetti JA, Monteith LL. Firearm Lethal Means Safety with Military Personnel and Veterans: Overcoming Barriers using a Collaborative Approach. Prof Psychol Res Pr. 2021 Aug;52(4):387-395. doi: 10.1037/pro0000372. Epub 2021 May 20. PMCID: PMC8375272.
PMID: 34421193

Hoops K, Fahimi J, Khoeur L, Studenmund C, Barber C, Barnhorst A, Betz ME, Crifasi CK, Davis JA, Dewispelaere W, Fisher L, Howard PK, Ketterer A, Marcolini E, Nestadt PS, Rozel J, Simonetti JA, Spitzer S, Victoroff M, Williams BH, Howley L, Ranney ML. Consensus-Driven Priorities for Firearm Injury Education Among Medical Professionals. Acad Med. 2021 Jul 6. doi: 10.1097/ACM.0000000000004226. Epub ahead of print.
PMID: 34232149

Newell S, Kenyon E, Clark KD, Elliott V, Rynerson A, Gerrity MS, Karras E, Simonetti JA, Dobscha SK. Veterans Are Agreeable to Discussions About Firearms Safety in Primary Care. J Am Board Fam Med. 2021 Mar-Apr;34(2):338-345. doi: 10.3122/jabfm.2021.02.200261.
PMID: 33833002

Dobscha SK, Clark KD, Newell S, Kenyon EA, Karras E, Simonetti JA, Gerrity M. Strategies for Discussing Firearms Storage Safety in Primary Care: Veteran Perspectives. J Gen Intern Med. 2021 Jan 26. doi: 10.1007/s11606-020-06412-x. Epub ahead of print.
PMID: 33501537

Whittington MD, Ho PM, Kirsh SR, Kenney RR, Todd-Stenberg J, Au DH, Simonetti J. Cost savings associated with electronic specialty consultations. Am J Manag Care. 2021 Jan 1;27(1):e16-e23. doi: 10.37765/ajmc.2021.88579.
PMID: 33471464



Simonetti JA, Clinton WL, Taylor L, Mori A, Fihn SD, Helfrich CD, Nelson K. The impact of survey nonresponse on estimates of healthcare employee burnout. Healthc (Amst). 2020 Sep;8(3):100451. doi: 10.1016/j.hjdsi.2020.100451. Epub 2020 Aug 2.
PMID: 32919589

Simonetti JA. Active Shooter Safety Drills and US Students-Should We Take a Step Back?. JAMA Pediatr. 2020 Aug 31. doi: 10.1001/jamapediatrics.2020.2592. Online ahead of print.
PMID: 32870260

Simonetti JA, Dorsey Holliman B, Holliday R, Brenner LA, Monteith LL. Correction: Firearm-related experiences and perceptions among United States male veterans: A qualitative interview study. PLoS One. 2020 Apr 2;15(4):e0231493. doi: 10.1371/journal.pone.0231493. eCollection 2020.PMID:
PMID: 32240267

Monteith LL, Holliday R, Dorsey Holliman BA, Brenner LA, Simonetti JA. Understanding female veterans' experiences and perspectives of firearms. J Clin Psychol. 2020 Sep;76(9):1736-1753. doi: 10.1002/jclp.22952. Epub 2020 Mar 30.
PMID: 32227687

Simonetti JA, Piegari R, Maynard C, Brenner LA, Mori A, Post EP, Nelson K, Trivedi R. Characteristics and Injury Mechanisms of Veteran Primary Care Suicide Decedents with and without Diagnosed Mental Illness. J Gen Intern Med. 2020 Mar 26. doi: 10.1007/s11606-020-05787-1. Online ahead of print.
PMID: 32219647

Simonetti JA, Dorsey Holliman B, Holiday R, Brenner LA, Monteith LL. Firearm-related experiences and perceptions among United States male veterans: A qualitative interview study. PLoS One. 2020 Mar 10;15(3):e0230135. doi: 10.1371/journal.pone.0230135. eCollection 2020.
PMID: 32155211

Trivedi RB, Post EP, Piegari R, Simonetti J, Boyko EJ, Asch SM, Mori A, Arnow BA, Fihn SD, Nelson KM, Maynard C. Mortality Among Veterans with Major Mental Illnesses Seen in Primary Care: Results of a National Study of Veteran Deaths. J Gen Intern Med. 2020 Jan;35(1):112-118. doi: 10.1007/s11606-019-05307-w. Epub 2019 Oct 30. PMCID: PMC6957595.
PMID: 31667746

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Grants & Funding


Development and Testing of a Veteran-Centered Lethal Means Safety Suicide Prevention Intervention

NIH website: