Interpretable probabilistic identification of depression in speech

Mental health assessment is typically carried out via a series of conversation sessions with medical professionals, where the overall aim is the diagnosis of mental illnesses and well-being evaluation. Despite its arguable socioeconomic significance, national health systems fail to meet the increased demand for such services that has been observed in recent years. To assist and accelerate the diagnosis process, this work proposes an AI-based tool able to provide interpretable predictions by automatically processing the recorded speech signals. An explainability-by-design approach is followed, where audio descriptors related to the problem at hand form the feature vector (Mel-scaled spectrum summarization, Teager operator and periodicity description), while modeling is based on Hidden Markov Models adapted from an ergodic universal one following a suitably designed data selection scheme. After extensive and thorough experiments adopting a standardized protocol on a publicly available dataset, we report significantly higher results with respect to the state of the art. In addition, an ablation study was carried out, providing a comprehensive analysis of the relevance of each system component. Last but not least, the proposed solution not only provides excellent performance, but its operation and predictions are transparent and interpretable, laying out the path to close the usability gap existing between such systems and medical personnel.