Qingkun Deng

Qingkun Deng, Saturnino Luz, Sofia de la Fuente Garcia

Depression is a common mental disorder. Automatic depression detection tools using speech, enabled by machine learning, help early screening of depression. This paper addresses two limitations that may hinder the clinical implementations of such tools: noise resulting from segment-level labelling and a lack of model interpretability. We propose a bi-modal speech-level transformer to avoid segment-level labelling and introduce a hierarchical interpretation approach to provide both speech-level and sentence-level interpretations, based on gradient-weighted attention maps derived from all attention layers to track interactions between input features. We show that the proposed model outperforms a model that learns at a segment level ($p$=0.854, $r$=0.947, $F1$=0.897 compared to $p$=0.732, $r$=0.808, $F1$=0.768). For model interpretation, using one true positive sample, we show which sentences within a given speech are most relevant to depression detection; and which text tokens and Mel-spectrogram regions within these sentences are most relevant to depression detection. These interpretations allow clinicians to verify the validity of predictions made by depression detection tools, promoting their clinical implementations.

Qingkun Deng, Saturnino Luz, Sofia de la Fuente Garcia

Speech-based depression detection tools could aid early screening. Here, we propose an interpretable speech foundation model approach to enhance the clinical applicability of such tools. We introduce a speech-level Audio Spectrogram Transformer (AST) to detect depression using long-duration speech instead of short segments, along with a novel interpretation method that reveals prediction-relevant acoustic features for clinician interpretation. Our experiments show the proposed model outperforms a segment-level AST, highlighting the impact of segment-level labelling noise and the advantage of leveraging longer speech duration for more reliable depression detection. Through interpretation, we observe our model identifies reduced loudness and F0 as relevant depression signals, aligning with documented clinical findings. This interpretability supports a responsible AI approach for speech-based depression detection, rendering such tools more clinically applicable.