Language-Agnostic Suicidal Risk Detection Using Large Language Models

Suicidal risk detection in adolescents is a critical challenge, yet existing methods rely on language-specific models, limiting scalability and generalization. This study introduces a novel language-agnostic framework for suicidal risk assessment with large language models (LLMs). We generate Chinese transcripts from speech using an ASR model and then employ LLMs with prompt-based queries to extract suicidal risk-related features from these transcripts. The extracted features are retained in both Chinese and English to enable cross-linguistic analysis and then used to fine-tune corresponding pretrained language models independently. Experimental results show that our method achieves performance comparable to direct fine-tuning with ASR results or to models trained solely on Chinese suicidal risk-related features, demonstrating its potential to overcome language constraints and improve the robustness of suicidal risk assessment.

Domain Adversarial Training for Mitigating Gender Bias in Speech-based Mental Health Detection

Speech-based AI models are emerging as powerful tools for detecting depression and the presence of Post-traumatic stress disorder (PTSD), offering a non-invasive and cost-effective way to assess mental health. However, these models often struggle with gender bias, which can lead to unfair and inaccurate predictions. In this study, our study addresses this issue by introducing a domain adversarial training approach that explicitly considers gender differences in speech-based depression and PTSD detection. Specifically, we treat different genders as distinct domains and integrate this information into a pretrained speech foundation model. We then validate its effectiveness on the E-DAIC dataset to assess its impact on performance. Experimental results show that our method notably improves detection performance, increasing the F1-score by up to 13.29 percentage points compared to the baseline. This highlights the importance of addressing demographic disparities in AI-driven mental health assessment.