Decoding Neural Signatures of Semantic Evaluations in Depression and Suicidality

Depression and suicidality profoundly impact cognition and emotion, yet objective neurophysiological biomarkers remain elusive. We investigated the spatiotemporal neural dynamics underlying affective semantic processing in individuals with varying levels of clinical severity of depression and suicidality using multivariate decoding of electroencephalography (EEG) data. Participants (N=137) completed a sentence evaluation task involving emotionally charged self-referential statements while EEG was recorded. We identified robust, neural signatures of semantic processing, with peak decoding accuracy between 300-600 ms -- a window associated with automatic semantic evaluation and conflict monitoring. Compared to healthy controls, individuals with depression and suicidality showed earlier onset, longer duration, and greater amplitude decoding responses, along with broader cross-temporal generalization and increased activation of frontocentral and parietotemporal components. These findings suggest altered sensitivity and impaired disengagement from emotionally salient content in the clinical groups, advancing our understanding of the neurocognitive basis of mental health and providing a principled basis for developing reliable EEG-based biomarkers of depression and suicidality.

Deep Learning Characterizes Depression and Suicidal Ideation from Eye Movements

Identifying physiological and behavioral markers for mental health conditions is a longstanding challenge in psychiatry. Depression and suicidal ideation, in particular, lack objective biomarkers, with screening and diagnosis primarily relying on self-reports and clinical interviews. Here, we investigate eye tracking as a potential marker modality for screening purposes. Eye movements are directly modulated by neuronal networks and have been associated with attentional and mood-related patterns; however, their predictive value for depression and suicidality remains unclear. We recorded eye-tracking sequences from 126 young adults as they read and responded to affective sentences, and subsequently developed a deep learning framework to predict their clinical status. The proposed model included separate branches for trials of positive and negative sentiment, and used 2D time-series representations to account for both intra-trial and inter-trial variations. We were able to identify depression and suicidal ideation with an area under the receiver operating curve (AUC) of 0.793 (95% CI: 0.765-0.819) against healthy controls, and suicidality specifically with 0.826 AUC (95% CI: 0.797-0.852). The model also exhibited moderate, yet significant, accuracy in differentiating depressed from suicidal participants, with 0.609 AUC (95% CI 0.571-0.646). Discriminative patterns emerge more strongly when assessing the data relative to response generation than relative to the onset time of the final word of the sentences. The most pronounced effects were observed for negative-sentiment sentences, that are congruent to depressed and suicidal participants. Our findings highlight eye tracking as an objective tool for mental health assessment and underscore the modulatory impact of emotional stimuli on cognitive processes affecting oculomotor control.