SpeechT-RAG: Reliable Depression Detection in LLMs with Retrieval-Augmented Generation Using Speech Timing Information

Fuente: arXiv
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Auteurs principaux: Zhang, Xiangyu, Liu, Hexin, Zhang, Qiquan, Ahmed, Beena, Epps, Julien
Format: Preprint
Publié: 2025
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author Zhang, Xiangyu
Liu, Hexin
Zhang, Qiquan
Ahmed, Beena
Epps, Julien
author_facet Zhang, Xiangyu
Liu, Hexin
Zhang, Qiquan
Ahmed, Beena
Epps, Julien
contents Large Language Models (LLMs) have been increasingly adopted for health-related tasks, yet their performance in depression detection remains limited when relying solely on text input. While Retrieval-Augmented Generation (RAG) typically enhances LLM capabilities, our experiments indicate that traditional text-based RAG systems struggle to significantly improve depression detection accuracy. This challenge stems partly from the rich depression-relevant information encoded in acoustic speech patterns information that current text-only approaches fail to capture effectively. To address this limitation, we conduct a systematic analysis of temporal speech patterns, comparing healthy individuals with those experiencing depression. Based on our findings, we introduce Speech Timing-based Retrieval-Augmented Generation, SpeechT-RAG, a novel system that leverages speech timing features for both accurate depression detection and reliable confidence estimation. This integrated approach not only outperforms traditional text-based RAG systems in detection accuracy but also enhances uncertainty quantification through a confidence scoring mechanism that naturally extends from the same temporal features. Our unified framework achieves comparable results to fine-tuned LLMs without additional training while simultaneously addressing the fundamental requirements for both accuracy and trustworthiness in mental health assessment.
format Preprint
id arxiv_https___arxiv_org_abs_2502_10950
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle SpeechT-RAG: Reliable Depression Detection in LLMs with Retrieval-Augmented Generation Using Speech Timing Information
Zhang, Xiangyu
Liu, Hexin
Zhang, Qiquan
Ahmed, Beena
Epps, Julien
Audio and Speech Processing
Large Language Models (LLMs) have been increasingly adopted for health-related tasks, yet their performance in depression detection remains limited when relying solely on text input. While Retrieval-Augmented Generation (RAG) typically enhances LLM capabilities, our experiments indicate that traditional text-based RAG systems struggle to significantly improve depression detection accuracy. This challenge stems partly from the rich depression-relevant information encoded in acoustic speech patterns information that current text-only approaches fail to capture effectively. To address this limitation, we conduct a systematic analysis of temporal speech patterns, comparing healthy individuals with those experiencing depression. Based on our findings, we introduce Speech Timing-based Retrieval-Augmented Generation, SpeechT-RAG, a novel system that leverages speech timing features for both accurate depression detection and reliable confidence estimation. This integrated approach not only outperforms traditional text-based RAG systems in detection accuracy but also enhances uncertainty quantification through a confidence scoring mechanism that naturally extends from the same temporal features. Our unified framework achieves comparable results to fine-tuned LLMs without additional training while simultaneously addressing the fundamental requirements for both accuracy and trustworthiness in mental health assessment.
title SpeechT-RAG: Reliable Depression Detection in LLMs with Retrieval-Augmented Generation Using Speech Timing Information
topic Audio and Speech Processing
url https://arxiv.org/abs/2502.10950