Ambre Marie

Ambre Marie, Thomas Bertin, Guillaume Dardenne et al.

Automatic speech recognition for French medical conversations remains challenging, with word error rates often exceeding 30% in spontaneous clinical speech. This study proposes a multi-pass LLM post-processing architecture alternating between Speaker Recognition and Word Recognition passes to improve transcription accuracy and speaker attribution. Ablation studies on two French clinical datasets (suicide prevention telephone counseling and preoperative awake neurosurgery consultations) investigate four design choices: model selection, prompting strategy, pass ordering, and iteration depth. Using Qwen3-Next-80B, Wilcoxon signed-rank tests confirm significant WDER reductions on suicide prevention conversations (p<0.05, n=18), while maintaining stability on awake neurosurgery consultations (n=10), with zero output failures and acceptable computational cost (RTF 0.32), suggesting feasibility for offline clinical deployment, pending validation on larger corpora.

Ambre Marie, Marine Garnier, Thomas Bertin et al.

Suicide remains a public health challenge, necessitating improved detection methods to facilitate timely intervention and treatment. This systematic review evaluates the role of Artificial Intelligence (AI) and Machine Learning (ML) in assessing suicide risk through acoustic analysis of speech. Following PRISMA guidelines, we analyzed 33 articles selected from PubMed, Cochrane, Scopus, and Web of Science databases. The last search was conducted in February 2025. Risk of bias was assessed using the PROBAST tool. Studies analyzing acoustic features between individuals at risk of suicide (RS) and those not at risk (NRS) were included, while studies lacking acoustic data, a suicide-related focus, or sufficient methodological details were excluded. Sample sizes varied widely and were reported in terms of participants or speech segments, depending on the study. Results were synthesized narratively based on acoustic features and classifier performance. Findings consistently showed significant acoustic feature variations between RS and NRS populations, particularly involving jitter, fundamental frequency (F0), Mel-frequency cepstral coefficients (MFCC), and power spectral density (PSD). Classifier performance varied based on algorithms, modalities, and speech elicitation methods, with multimodal approaches integrating acoustic, linguistic, and metadata features demonstrating superior performance. Among the 29 classifier-based studies, reported AUC values ranged from 0.62 to 0.985 and accuracies from 60% to 99.85%. Most datasets were imbalanced in favor of NRS, and performance metrics were rarely reported separately by group, limiting clear identification of direction of effect.

Ambre Marie, Ilias Maoudj, Guillaume Dardenne et al.

The 1st SpeechWellness Challenge conveys the need for speech-based suicide risk assessment in adolescents. This study investigates a multimodal approach for this challenge, integrating automatic transcription with WhisperX, linguistic embeddings from Chinese RoBERTa, and audio embeddings from WavLM. Additionally, handcrafted acoustic features -- including MFCCs, spectral contrast, and pitch-related statistics -- were incorporated. We explored three fusion strategies: early concatenation, modality-specific processing, and weighted attention with mixup regularization. Results show that weighted attention provided the best generalization, achieving 69% accuracy on the development set, though a performance gap between development and test sets highlights generalization challenges. Our findings, strictly tied to the MINI-KID framework, emphasize the importance of refining embedding representations and fusion mechanisms to enhance classification reliability.