Daily Papers

Speech pathology has impacts on communication abilities and quality of life. While deep learning-based models have shown potential in diagnosing these disorders, the use of sensitive data raises critical privacy concerns. Although differential privacy (DP) has been explored in the medical imaging domain, its application in pathological speech analysis remains largely unexplored despite the equally critical privacy concerns. To the best of our knowledge, this study is the first to investigate DP's impact on pathological speech data, focusing on the trade-offs between privacy, diagnostic accuracy, and fairness. Using a large, real-world dataset of 200 hours of recordings from 2,839 German-speaking participants, we observed a maximum accuracy reduction of 3.85% when training with DP with high privacy levels. To highlight real-world privacy risks, we demonstrated the vulnerability of non-private models to gradient inversion attacks, reconstructing identifiable speech samples and showcasing DP's effectiveness in mitigating these risks. To explore the potential generalizability across languages and disorders, we validated our approach on a dataset of Spanish-speaking Parkinson's disease patients, leveraging pretrained models from healthy English-speaking datasets, and demonstrated that careful pretraining on large-scale task-specific datasets can maintain favorable accuracy under DP constraints. A comprehensive fairness analysis revealed minimal gender bias at reasonable privacy levels but underscored the need for addressing age-related disparities. Our results establish that DP can balance privacy and utility in speech disorder detection, while highlighting unique challenges in privacy-fairness trade-offs for speech data. This provides a foundation for refining DP methodologies and improving fairness across diverse patient groups in real-world deployments.

According to the U.S. National Institutes of Health, more than 3.4 million children experience speech disorders that require clinical intervention. The number of speech-language pathologists (SLPs) is roughly 20 times fewer than the number of affected children, highlighting a significant gap in children's care and a pressing need for technological support that improves the productivity of SLPs. State-of-the-art multimodal language models (MLMs) show promise for supporting SLPs, but their use remains underexplored largely due to a limited understanding of their performance in high-stakes clinical settings. To address this gap, we collaborate with domain experts to develop a taxonomy of real-world use cases of MLMs in speech-language pathologies. Building on this taxonomy, we introduce the first comprehensive benchmark for evaluating MLM across five core use cases, each containing 1,000 manually annotated data points. This benchmark includes robustness and sensitivity tests under various settings, including background noise, speaker gender, and accent. Our evaluation of 15 state-of-the-art MLMs reveals that no single model consistently outperforms others across all tasks. Notably, we find systematic disparities, with models performing better on male speakers, and observe that chain-of-thought prompting can degrade performance on classification tasks with large label spaces and narrow decision boundaries. Furthermore, we study fine-tuning MLMs on domain-specific data, achieving improvements of over 10\% compared to base models. These findings highlight both the potential and limitations of current MLMs for speech-language pathology applications, underscoring the need for further research and targeted development.

The performance of Automatic Speech Recognition (ASR) systems has constantly increased in state-of-the-art development. However, performance tends to decrease considerably in more challenging conditions (e.g., background noise, multiple speaker social conversations) and with more atypical speakers (e.g., children, non-native speakers or people with speech disorders), which signifies that general improvements do not necessarily transfer to applications that rely on ASR, e.g., educational software for younger students or language learners. In this study, we focus on the gap in performance between recognition results for native and non-native, read and spontaneous, Swedish utterances transcribed by different ASR services. We compare the recognition results using Word Error Rate and analyze the linguistic factors that may generate the observed transcription errors.

Speech-based depression detection poses significant challenges for automated detection due to its unique manifestation across individuals and data scarcity. Addressing these challenges, we introduce DAAMAudioCNNLSTM and DAAMAudioTransformer, two parameter efficient and explainable models for audio feature extraction and depression detection. DAAMAudioCNNLSTM features a novel CNN-LSTM framework with multi-head Density Adaptive Attention Mechanism (DAAM), focusing dynamically on informative speech segments. DAAMAudioTransformer, leveraging a transformer encoder in place of the CNN-LSTM architecture, incorporates the same DAAM module for enhanced attention and interpretability. These approaches not only enhance detection robustness and interpretability but also achieve state-of-the-art performance: DAAMAudioCNNLSTM with an F1 macro score of 0.702 and DAAMAudioTransformer with an F1 macro score of 0.72 on the DAIC-WOZ dataset, without reliance on supplementary information such as vowel positions and speaker information during training/validation as in previous approaches. Both models' significant explainability and efficiency in leveraging speech signals for depression detection represent a leap towards more reliable, clinically useful diagnostic tools, promising advancements in speech and mental health care. To foster further research in this domain, we make our code publicly available.

It is widely accepted that information derived from analyzing speech (the acoustic signal) and language production (words and sentences) serves as a useful window into the health of an individual's cognitive ability. In fact, most neuropsychological testing batteries have a component related to speech and language where clinicians elicit speech from patients for subjective evaluation across a broad set of dimensions. With advances in speech signal processing and natural language processing, there has been recent interest in developing tools to detect more subtle changes in cognitive-linguistic function. This work relies on extracting a set of features from recorded and transcribed speech for objective assessments of speech and language, early diagnosis of neurological disease, and tracking of disease after diagnosis. With an emphasis on cognitive and thought disorders, in this paper we provide a review of existing speech and language features used in this domain, discuss their clinical application, and highlight their advantages and disadvantages. Broadly speaking, the review is split into two categories: language features based on natural language processing and speech features based on speech signal processing. Within each category, we consider features that aim to measure complementary dimensions of cognitive-linguistics, including language diversity, syntactic complexity, semantic coherence, and timing. We conclude the review with a proposal of new research directions to further advance the field.

Background:Speech patterns have emerged as potential diagnostic markers for conditions with varying etiologies. Machine learning (ML) presents an opportunity to harness these patterns for accurate disease diagnosis. Objective: This review synthesized findings from studies exploring ML's capability in leveraging speech for the diagnosis of neurological, laryngeal and mental disorders. Methods: A systematic examination of 564 articles was conducted with 91 articles included in the study, which encompassed a wide spectrum of conditions, ranging from voice pathologies to mental and neurological disorders. Methods for speech classifications were assessed based on the relevant studies and scored between 0-10 based on the reported diagnostic accuracy of their ML models. Results: High diagnostic accuracies were consistently observed for laryngeal disorders, dysarthria, and changes related to speech in Parkinsons disease. These findings indicate the robust potential of speech as a diagnostic tool. Disorders like depression, schizophrenia, mild cognitive impairment and Alzheimers dementia also demonstrated high accuracies, albeit with some variability across studies. Meanwhile, disorders like OCD and autism highlighted the need for more extensive research to ascertain the relationship between speech patterns and the respective conditions. Conclusion: ML models utilizing speech patterns demonstrate promising potential in diagnosing a range of mental, laryngeal, and neurological disorders. However, the efficacy varies across conditions, and further research is needed. The integration of these models into clinical practice could potentially revolutionize the evaluation and diagnosis of a number of different medical conditions.

Mental distress like depression and anxiety contribute to the largest proportion of the global burden of diseases. Automated diagnosis systems of such disorders, empowered by recent innovations in Artificial Intelligence, can pave the way to reduce the sufferings of the affected individuals. Development of such systems requires information-rich and balanced corpora. In this work, we introduce a novel mental distress analysis audio dataset DEPAC, labeled based on established thresholds on depression and anxiety standard screening tools. This large dataset comprises multiple speech tasks per individual, as well as relevant demographic information. Alongside, we present a feature set consisting of hand-curated acoustic and linguistic features, which were found effective in identifying signs of mental illnesses in human speech. Finally, we justify the quality and effectiveness of our proposed audio corpus and feature set in predicting depression severity by comparing the performance of baseline machine learning models built on this dataset with baseline models trained on other well-known depression corpora.

Mental health disorders are rising worldwide. However, the availability of trained clinicians has not scaled proportionally, leaving many people without adequate or timely support. To bridge this gap, recent studies have shown the promise of Artificial Intelligence (AI) to assist mental health diagnosis, monitoring, and intervention. However, the development of efficient, reliable, and ethical AI to assist clinicians is heavily dependent on high-quality clinical training datasets. Despite growing interest in data curation for training clinical AI assistants, existing datasets largely remain scattered, under-documented, and often inaccessible, hindering the reproducibility, comparability, and generalizability of AI models developed for clinical mental health care. In this paper, we present the first comprehensive survey of clinical mental health datasets relevant to the training and development of AI-powered clinical assistants. We categorize these datasets by mental disorders (e.g., depression, schizophrenia), data modalities (e.g., text, speech, physiological signals), task types (e.g., diagnosis prediction, symptom severity estimation, intervention generation), accessibility (public, restricted or private), and sociocultural context (e.g., language and cultural background). Along with these, we also investigate synthetic clinical mental health datasets. Our survey identifies critical gaps such as a lack of longitudinal data, limited cultural and linguistic representation, inconsistent collection and annotation standards, and a lack of modalities in synthetic data. We conclude by outlining key challenges in curating and standardizing future datasets and provide actionable recommendations to facilitate the development of more robust, generalizable, and equitable mental health AI systems.

Several studies have shown that speech and language features, automatically extracted from clinical interviews or spontaneous discourse, have diagnostic value for mental disorders such as schizophrenia and bipolar disorder. They typically make use of a large feature set to train a classifier for distinguishing between two groups of interest, i.e. a clinical and control group. However, a purely data-driven approach runs the risk of overfitting to a particular data set, especially when sample sizes are limited. Here, we first down-select the set of language features to a small subset that is related to a well-validated test of functional ability, the Social Skills Performance Assessment (SSPA). This helps establish the concurrent validity of the selected features. We use only these features to train a simple classifier to distinguish between groups of interest. Linear regression reveals that a subset of language features can effectively model the SSPA, with a correlation coefficient of 0.75. Furthermore, the same feature set can be used to build a strong binary classifier to distinguish between healthy controls and a clinical group (AUC = 0.96) and also between patients within the clinical group with schizophrenia and bipolar I disorder (AUC = 0.83).

Social media is a great source of data for users reporting information and regarding their health and how various things have had an effect on them. This paper presents various approaches using Transformers and Large Language Models and their ensembles, their performance along with advantages and drawbacks for various tasks of SMM4H'24 - Classifying texts on impact of nature and outdoor spaces on the author's mental health (Task 3), Binary classification of tweets reporting their children's health disorders like Asthma, Autism, ADHD and Speech disorder (task 5), Binary classification of users self-reporting their age (task 6).

Stuttering is a speech disorder where the natural flow of speech is interrupted by blocks, repetitions or prolongations of syllables, words and phrases. The majority of existing automatic speech recognition (ASR) interfaces perform poorly on utterances with stutter, mainly due to lack of matched training data. Synthesis of speech with stutter thus presents an opportunity to improve ASR for this type of speech. We describe Stutter-TTS, an end-to-end neural text-to-speech model capable of synthesizing diverse types of stuttering utterances. We develop a simple, yet effective prosody-control strategy whereby additional tokens are introduced into source text during training to represent specific stuttering characteristics. By choosing the position of the stutter tokens, Stutter-TTS allows word-level control of where stuttering occurs in the synthesized utterance. We are able to synthesize stutter events with high accuracy (F1-scores between 0.63 and 0.84, depending on stutter type). By fine-tuning an ASR model on synthetic stuttered speech we are able to reduce word error by 5.7% relative on stuttered utterances, with only minor (<0.2% relative) degradation for fluent utterances.

Parameter-efficient fine-tuning (PEFT) for personalizing automatic speech recognition (ASR) has recently shown promise for adapting general population models to atypical speech. However, these approaches assume a priori knowledge of the atypical speech disorder being adapted for -- the diagnosis of which requires expert knowledge that is not always available. Even given this knowledge, data scarcity and high inter/intra-speaker variability further limit the effectiveness of traditional fine-tuning. To circumvent these challenges, we first identify the minimal set of model parameters required for ASR adaptation. Our analysis of each individual parameter's effect on adaptation performance allows us to reduce Word Error Rate (WER) by half while adapting 0.03% of all weights. Alleviating the need for cohort-specific models, we next propose the novel use of a meta-learned hypernetwork to generate highly individualized, utterance-level adaptations on-the-fly for a diverse set of atypical speech characteristics. Evaluating adaptation at the global, cohort and individual-level, we show that hypernetworks generalize better to out-of-distribution speakers, while maintaining an overall relative WER reduction of 75.2% using 0.1% of the full parameter budget.

Voice disorders are pathologies significantly affecting patient quality of life. However, non-invasive automated diagnosis of these pathologies is still under-explored, due to both a shortage of pathological voice data, and diversity of the recording types used for the diagnosis. This paper proposes a novel solution that adopts transformers directly working on raw voice signals and addresses data shortage through synthetic data generation and data augmentation. Further, we consider many recording types at the same time, such as sentence reading and sustained vowel emission, by employing a Mixture of Expert ensemble to align the predictions on different data types. The experimental results, obtained on both public and private datasets, show the effectiveness of our solution in the disorder detection and classification tasks and largely improve over existing approaches.

This paper presents a new approach for classification of dysfluent and fluent speech using Mel-Frequency Cepstral Coefficient (MFCC). The speech is fluent when person's speech flows easily and smoothly. Sounds combine into syllable, syllables mix together into words and words link into sentences with little effort. When someone's speech is dysfluent, it is irregular and does not flow effortlessly. Therefore, a dysfluency is a break in the smooth, meaningful flow of speech. Stuttering is one such disorder in which the fluent flow of speech is disrupted by occurrences of dysfluencies such as repetitions, prolongations, interjections and so on. In this work we have considered three types of dysfluencies such as repetition, prolongation and interjection to characterize dysfluent speech. After obtaining dysfluent and fluent speech, the speech signals are analyzed in order to extract MFCC features. The k-Nearest Neighbor (k-NN) and Support Vector Machine (SVM) classifiers are used to classify the speech as dysfluent and fluent speech. The 80% of the data is used for training and 20% for testing. The average accuracy of 86.67% and 93.34% is obtained for dysfluent and fluent speech respectively.

Speech patterns have been identified as potential diagnostic markers for neuropsychiatric conditions. However, most studies only compare a single clinical group to healthy controls, whereas clinical practice often requires differentiating between multiple potential diagnoses (multiclass settings). To address this, we assembled a dataset of repeated recordings from 420 participants (67 with major depressive disorder, 106 with schizophrenia and 46 with autism, as well as matched controls), and tested the performance of a range of conventional machine learning models and advanced Transformer models on both binary and multiclass classification, based on voice and text features. While binary models performed comparably to previous research (F1 scores between 0.54-0.75 for autism spectrum disorder, ASD; 0.67-0.92 for major depressive disorder, MDD; and 0.71-0.83 for schizophrenia); when differentiating between multiple diagnostic groups performance decreased markedly (F1 scores between 0.35-0.44 for ASD, 0.57-0.75 for MDD, 0.15-0.66 for schizophrenia, and 0.38-0.52 macro F1). Combining voice and text-based models yielded increased performance, suggesting that they capture complementary diagnostic information. Our results indicate that models trained on binary classification may learn to rely on markers of generic differences between clinical and non-clinical populations, or markers of clinical features that overlap across conditions, rather than identifying markers specific to individual conditions. We provide recommendations for future research in the field, suggesting increased focus on developing larger transdiagnostic datasets that include more fine-grained clinical features, and that can support the development of models that better capture the complexity of neuropsychiatric conditions and naturalistic diagnostic assessment.

Learning disorders are neurological conditions that affect the brain's ability to interconnect communication areas. Dyslexic students experience problems with reading, memorizing, and exposing concepts; however the magnitude of these can be mitigated through both therapies and the creation of compensatory mechanisms. Several efforts have been made to mitigate these issues, leading to the creation of digital resources for students with specific learning disorders attending primary and secondary education levels. Conversely, a standard approach is still missed in higher education. The VRAIlexia project has been created to tackle this issue by proposing two different tools: a mobile application integrating virtual reality (VR) to collect data quickly and easily, and an artificial intelligencebased software (AI) to analyze the collected data for customizing the supporting methodology for each student. The first one has been created and is being distributed among dyslexic students in Higher Education Institutions, for the conduction of specific psychological and psychometric tests. The second tool applies specific artificial intelligence algorithms to the data gathered via the application and other surveys. These AI techniques have allowed us to identify the most relevant difficulties faced by the students' cohort. Our different models have obtained around 90\% mean accuracy for predicting the support tools and learning strategies.

This study explores voice cloning to generate synthetic speech replicating the unique patterns of individuals with dysarthria. Using the TORGO dataset, we address data scarcity and privacy challenges in speech-language pathology. Our contributions include demonstrating that voice cloning preserves dysarthric speech characteristics, analyzing differences between real and synthetic data, and discussing implications for diagnostics, rehabilitation, and communication. We cloned voices from dysarthric and control speakers using a commercial platform, ensuring gender-matched synthetic voices. A licensed speech-language pathologist (SLP) evaluated a subset for dysarthria, speaker gender, and synthetic indicators. The SLP correctly identified dysarthria in all cases and speaker gender in 95% but misclassified 30% of synthetic samples as real, indicating high realism. Our results suggest synthetic speech effectively captures disordered characteristics and that voice cloning has advanced to produce high-quality data resembling real speech, even to trained professionals. This has critical implications for healthcare, where synthetic data can mitigate data scarcity, protect privacy, and enhance AI-driven diagnostics. By enabling the creation of diverse, high-quality speech datasets, voice cloning can improve generalizable models, personalize therapy, and advance assistive technologies for dysarthria. We publicly release our synthetic dataset to foster further research and collaboration, aiming to develop robust models that improve patient outcomes in speech-language pathology.

Voice disorders significantly impact patient quality of life, yet non-invasive automated diagnosis remains under-explored due to both the scarcity of pathological voice data, and the variability in recording sources. This work introduces MVP (Multi-source Voice Pathology detection), a novel approach that leverages transformers operating directly on raw voice signals. We explore three fusion strategies to combine sentence reading and sustained vowel recordings: waveform concatenation, intermediate feature fusion, and decision-level combination. Empirical validation across the German, Portuguese, and Italian languages shows that intermediate feature fusion using transformers best captures the complementary characteristics of both recording types. Our approach achieves up to +13% AUC improvement over single-source methods.

Automatic anonymization techniques are essential for ethical sharing of pathological speech data, yet their perceptual consequences remain understudied. We present a comprehensive human-centered analysis of anonymized pathological speech, using a structured protocol involving ten native and non-native German listeners with diverse linguistic, clinical, and technical backgrounds. Listeners evaluated anonymized-original utterance pairs from 180 speakers spanning Cleft Lip and Palate, Dysarthria, Dysglossia, Dysphonia, and healthy controls. Speech was anonymized using state-of-the-art automatic methods (equal error rates in the range of 30-40%). Listeners completed Turing-style discrimination and quality rating tasks under zero-shot (single-exposure) and few-shot (repeated-exposure) conditions. Discrimination accuracy was high overall (91% zero-shot; 93% few-shot), but varied by disorder (repeated-measures ANOVA: p=0.007), ranging from 96% (Dysarthria) to 86% (Dysphonia). Anonymization consistently reduced perceived quality across groups (from 83% to 59%, p<0.001), with pathology-specific degradation patterns (one-way ANOVA: p=0.005). Native listeners showed a non-significant trend toward higher original speech ratings (Delta=4%, p=0.199), but this difference was minimal after anonymization (Delta=1%, p=0.724). No significant gender-based bias was observed. Perceptual outcomes did not correlate with automatic metrics; intelligibility was linked to perceived quality in original speech but not after anonymization. These findings underscore the need for listener-informed, disorder-specific anonymization strategies that preserve both privacy and perceptual integrity.

Automatic speech recognition (ASR) for pathological speech remains underexplored, especially for Huntington's disease (HD), where irregular timing, unstable phonation, and articulatory distortion challenge current models. We present a systematic HD-ASR study using a high-fidelity clinical speech corpus not previously used for end-to-end ASR training. We compare multiple ASR families under a unified evaluation, analyzing WER as well as substitution, deletion, and insertion patterns. HD speech induces architecture-specific error regimes, with Parakeet-TDT outperforming encoder-decoder and CTC baselines. HD-specific adaptation reduces WER from 6.99% to 4.95% and we also propose a method for using biomarker-based auxiliary supervision and analyze how error behavior is reshaped in severity-dependent ways rather than uniformly improving WER. We open-source all code and models.

Dysfluent speech detection is the bottleneck for disordered speech analysis and spoken language learning. Current state-of-the-art models are governed by rule-based systems which lack efficiency and robustness, and are sensitive to template design. In this paper, we propose YOLO-Stutter: a first end-to-end method that detects dysfluencies in a time-accurate manner. YOLO-Stutter takes imperfect speech-text alignment as input, followed by a spatial feature aggregator, and a temporal dependency extractor to perform region-wise boundary and class predictions. We also introduce two dysfluency corpus, VCTK-Stutter and VCTK-TTS, that simulate natural spoken dysfluencies including repetition, block, missing, replacement, and prolongation. Our end-to-end method achieves state-of-the-art performance with a minimum number of trainable parameters for on both simulated data and real aphasia speech. Code and datasets are open-sourced at https://github.com/rorizzz/YOLO-Stutter

Despite the remarkable progress in end-to-end Automatic Speech Recognition (ASR) engines, accurately transcribing dysarthric speech remains a major challenge. In this work, we proposed a two-stage framework for the Speech Accessibility Project Challenge at INTERSPEECH 2025, which combines cutting-edge speech recognition models with LLM-based generative error correction (GER). We assess different configurations of model scales and training strategies, incorporating specific hypothesis selection to improve transcription accuracy. Experiments on the Speech Accessibility Project dataset demonstrate the strength of our approach on structured and spontaneous speech, while highlighting challenges in single-word recognition. Through comprehensive analysis, we provide insights into the complementary roles of acoustic and linguistic modeling in dysarthric speech recognition

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that often emerges in early childhood. ASD assessment typically involves an observation protocol including note-taking and ratings of child's social behavior conducted by a trained clinician. A robust machine learning (ML) model that is capable of labeling adult and child audio has the potential to save significant time and labor in manual coding children's behaviors. This may assist clinicians capture events of interest, better communicate events with parents, and educate new clinicians. In this study, we leverage the self-supervised learning model, Wav2Vec 2.0 (W2V2), pretrained on 4300h of home recordings of children under 5 years old, to build a unified system that performs both speaker diarization (SD) and vocalization classification (VC) tasks. We apply this system to two-channel audio recordings of brief 3-5 minute clinician-child interactions using the Rapid-ABC corpus. We propose a novel technique by introducing auxiliary features extracted from W2V2-based automatic speech recognition (ASR) system for children under 4 years old to improve children's VC task. We test our proposed method of improving children's VC task on two corpora (Rapid-ABC and BabbleCor) and observe consistent improvements. Furthermore, we reach, or perhaps outperform, the state-of-the-art performance of BabbleCor.

The automatic identification and analysis of pronunciation errors, known as Mispronunciation Detection and Diagnosis (MDD) plays a crucial role in Computer Aided Pronunciation Learning (CAPL) tools such as Second-Language (L2) learning or speech therapy applications. Existing MDD methods relying on analysing phonemes can only detect categorical errors of phonemes that have an adequate amount of training data to be modelled. With the unpredictable nature of the pronunciation errors of non-native or disordered speakers and the scarcity of training datasets, it is unfeasible to model all types of mispronunciations. Moreover, phoneme-level MDD approaches have a limited ability to provide detailed diagnostic information about the error made. In this paper, we propose a low-level MDD approach based on the detection of speech attribute features. Speech attribute features break down phoneme production into elementary components that are directly related to the articulatory system leading to more formative feedback to the learner. We further propose a multi-label variant of the Connectionist Temporal Classification (CTC) approach to jointly model the non-mutually exclusive speech attributes using a single model. The pre-trained wav2vec2 model was employed as a core model for the speech attribute detector. The proposed method was applied to L2 speech corpora collected from English learners from different native languages. The proposed speech attribute MDD method was further compared to the traditional phoneme-level MDD and achieved a significantly lower False Acceptance Rate (FAR), False Rejection Rate (FRR), and Diagnostic Error Rate (DER) over all speech attributes compared to the phoneme-level equivalent.

Parkinson's disease (PD) is a neurological disorder impacting a person's speech. Among automatic PD assessment methods, deep learning models have gained particular interest. Recently, the community has explored cross-pathology and cross-language models which can improve diagnostic accuracy even further. However, strict patient data privacy regulations largely prevent institutions from sharing patient speech data with each other. In this paper, we employ federated learning (FL) for PD detection using speech signals from 3 real-world language corpora of German, Spanish, and Czech, each from a separate institution. Our results indicate that the FL model outperforms all the local models in terms of diagnostic accuracy, while not performing very differently from the model based on centrally combined training sets, with the advantage of not requiring any data sharing among collaborators. This will simplify inter-institutional collaborations, resulting in enhancement of patient outcomes.

Depression, a prevalent mental health disorder impacting millions globally, demands reliable assessment systems. Unlike previous studies that focus solely on either detecting depression or predicting its severity, our work identifies individual symptoms of depression while also predicting its severity using speech input. We leverage self-supervised learning (SSL)-based speech models to better utilize the small-sized datasets that are frequently encountered in this task. Our study demonstrates notable performance improvements by utilizing SSL embeddings compared to conventional speech features. We compare various types of SSL pretrained models to elucidate the type of speech information (semantic, speaker, or prosodic) that contributes the most in identifying different symptoms. Additionally, we evaluate the impact of combining multiple SSL embeddings on performance. Furthermore, we show the significance of multi-task learning for identifying depressive symptoms effectively.

Dysarthric speech quality assessment (DSQA) is critical for clinical diagnostics and inclusive speech technologies. However, subjective evaluation is costly and difficult to scale, and the scarcity of labeled data limits robust objective modeling. To address this, we propose a three-stage framework that leverages unlabeled dysarthric speech and large-scale typical speech datasets to scale training. A teacher model first generates pseudo-labels for unlabeled samples, followed by weakly supervised pretraining using a label-aware contrastive learning strategy that exposes the model to diverse speakers and acoustic conditions. The pretrained model is then fine-tuned for the downstream DSQA task. Experiments on five unseen datasets spanning multiple etiologies and languages demonstrate the robustness of our approach. Our Whisper-based baseline significantly outperforms SOTA DSQA predictors such as SpICE, and the full framework achieves an average SRCC of 0.761 across unseen test datasets.

The Norwegian Parliamentary Speech Corpus (NPSC) is a speech dataset with recordings of meetings from Stortinget, the Norwegian parliament. It is the first, publicly available dataset containing unscripted, Norwegian speech designed for training of automatic speech recognition (ASR) systems. The recordings are manually transcribed and annotated with language codes and speakers, and there are detailed metadata about the speakers. The transcriptions exist in both normalized and non-normalized form, and non-standardized words are explicitly marked and annotated with standardized equivalents. To test the usefulness of this dataset, we have compared an ASR system trained on the NPSC with a baseline system trained on only manuscript-read speech. These systems were tested on an independent dataset containing spontaneous, dialectal speech. The NPSC-trained system performed significantly better, with a 22.9% relative improvement in word error rate (WER). Moreover, training on the NPSC is shown to have a "democratizing" effect in terms of dialects, as improvements are generally larger for dialects with higher WER from the baseline system.

In this work, we present a novel perspective on cognitive impairment classification from speech by integrating speech foundation models that explicitly recognize speech dialects. Our motivation is based on the observation that individuals with Alzheimer's Disease (AD) or mild cognitive impairment (MCI) often produce measurable speech characteristics, such as slower articulation rate and lengthened sounds, in a manner similar to dialectal phonetic variations seen in speech. Building on this idea, we introduce VoxCog, an end-to-end framework that uses pre-trained dialect models to detect AD or MCI without relying on additional modalities such as text or images. Through experiments on multiple multilingual datasets for AD and MCI detection, we demonstrate that model initialization with a dialect classifier on top of speech foundation models consistently improves the predictive performance of AD or MCI. Our trained models yield similar or often better performance compared to previous approaches that ensembled several computational methods using different signal modalities. Particularly, our end-to-end speech-based model achieves 87.5% and 85.9% accuracy on the ADReSS 2020 challenge and ADReSSo 2021 challenge test sets, outperforming existing solutions that use multimodal ensemble-based computation or LLMs.

The disparity in phonology between learner's native (L1) and target (L2) language poses a significant challenge for mispronunciation detection and diagnosis (MDD) systems. This challenge is further intensified by lack of annotated L2 data. This paper proposes a novel MDD architecture that exploits multiple `views' of the same input data assisted by auxiliary tasks to learn more distinctive phonetic representation in a low-resource setting. Using the mono- and multilingual encoders, the model learn multiple views of the input, and capture the sound properties across diverse languages and accents. These encoded representations are further enriched by learning articulatory features in a multi-task setup. Our reported results using the L2-ARCTIC data outperformed the SOTA models, with a phoneme error rate reduction of 11.13% and 8.60% and absolute F1 score increase of 5.89%, and 2.49% compared to the single-view mono- and multilingual systems, with a limited L2 dataset.

Depression is a critical concern in global mental health, prompting extensive research into AI-based detection methods. Among various AI technologies, Large Language Models (LLMs) stand out for their versatility in mental healthcare applications. However, their primary limitation arises from their exclusive dependence on textual input, which constrains their overall capabilities. Furthermore, the utilization of LLMs in identifying and analyzing depressive states is still relatively untapped. In this paper, we present an innovative approach to integrating acoustic speech information into the LLMs framework for multimodal depression detection. We investigate an efficient method for depression detection by integrating speech signals into LLMs utilizing Acoustic Landmarks. By incorporating acoustic landmarks, which are specific to the pronunciation of spoken words, our method adds critical dimensions to text transcripts. This integration also provides insights into the unique speech patterns of individuals, revealing the potential mental states of individuals. Evaluations of the proposed approach on the DAIC-WOZ dataset reveal state-of-the-art results when compared with existing Audio-Text baselines. In addition, this approach is not only valuable for the detection of depression but also represents a new perspective in enhancing the ability of LLMs to comprehend and process speech signals.

Whisper fails to correctly transcribe dementia speech because persons with dementia (PwDs) often exhibit irregular speech patterns and disfluencies such as pauses, repetitions, and fragmented sentences. It was trained on standard speech and may have had little or no exposure to dementia-affected speech. However, correct transcription is vital for dementia speech for cost-effective diagnosis and the development of assistive technology. In this work, we fine-tune Whisper with the open-source dementia speech dataset (DementiaBank) and our in-house dataset to improve its word error rate (WER). The fine-tuning also includes filler words to ascertain the filler inclusion rate (FIR) and F1 score. The fine-tuned models significantly outperformed the off-the-shelf models. The medium-sized model achieved a WER of 0.24, outperforming previous work. Similarly, there was a notable generalisability to unseen data and speech patterns.

Spontaneous conversations in real-world settings such as those found in child-centered recordings have been shown to be amongst the most challenging audio files to process. Nevertheless, building speech processing models handling such a wide variety of conditions would be particularly useful for language acquisition studies in which researchers are interested in the quantity and quality of the speech that children hear and produce, as well as for early diagnosis and measuring effects of remediation. In this paper, we present our approach to designing an open-source neural network to classify audio segments into vocalizations produced by the child wearing the recording device, vocalizations produced by other children, adult male speech, and adult female speech. To this end, we gathered diverse child-centered corpora which sums up to a total of 260 hours of recordings and covers 10 languages. Our model can be used as input for downstream tasks such as estimating the number of words produced by adult speakers, or the number of linguistic units produced by children. Our architecture combines SincNet filters with a stack of recurrent layers and outperforms by a large margin the state-of-the-art system, the Language ENvironment Analysis (LENA) that has been used in numerous child language studies.

Psychotherapy or counseling is typically conducted through spoken conversation between a therapist and a client. Analyzing the speech characteristics of psychotherapeutic interactions can help understand the factors associated with effective psychotherapy. This paper introduces CUEMPATHY, a large-scale speech dataset collected from actual counseling sessions. The dataset consists of 156 counseling sessions involving 39 therapist-client dyads. The process of speech data collection, subjective ratings (one observer and two client ratings), and transcription are described. An automatic speech and text processing system is developed to locate the time stamps of speaker turns in each session. Examining the relationships among the three subjective ratings suggests that observer and client ratings have no significant correlation, while the client-rated measures are significantly correlated. The intensity similarity between the therapist and the client, measured by the averaged absolute difference of speaker-turn-level intensities, is associated with the psychotherapy outcomes. Recent studies on the acoustic and linguistic characteristics of the CUEMPATHY are introduced.

This review paper explores recent advances in deep learning approaches for non-invasive cognitive impairment detection. We examine various non-invasive indicators of cognitive decline, including speech and language, facial, and motoric mobility. The paper provides an overview of relevant datasets, feature-extracting techniques, and deep-learning architectures applied to this domain. We have analyzed the performance of different methods across modalities and observed that speech and language-based methods generally achieved the highest detection performance. Studies combining acoustic and linguistic features tended to outperform those using a single modality. Facial analysis methods showed promise for visual modalities but were less extensively studied. Most papers focused on binary classification (impaired vs. non-impaired), with fewer addressing multi-class or regression tasks. Transfer learning and pre-trained language models emerged as popular and effective techniques, especially for linguistic analysis. Despite significant progress, several challenges remain, including data standardization and accessibility, model explainability, longitudinal analysis limitations, and clinical adaptation. Lastly, we propose future research directions, such as investigating language-agnostic speech analysis methods, developing multi-modal diagnostic systems, and addressing ethical considerations in AI-assisted healthcare. By synthesizing current trends and identifying key obstacles, this review aims to guide further development of deep learning-based cognitive impairment detection systems to improve early diagnosis and ultimately patient outcomes.

There is a growing need for diverse, high-quality stuttered speech data, particularly in the context of Indian languages. This paper introduces Project Boli, a multi-lingual stuttered speech dataset designed to advance scientific understanding and technology development for individuals who stutter, particularly in India. The dataset constitutes (a) anonymized metadata (gender, age, country, mother tongue) and responses to a questionnaire about how stuttering affects their daily lives, (b) captures both read speech (using the Rainbow Passage) and spontaneous speech (through image description tasks) for each participant and (c) includes detailed annotations of five stutter types: blocks, prolongations, interjections, sound repetitions and word repetitions. We present a comprehensive analysis of the dataset, including the data collection procedure, experience summarization of people who stutter, severity assessment of stuttering events and technical validation of the collected data. The dataset is released as an open access to further speech technology development.

Laughing, sighing, stuttering, and other forms of paralanguage do not contribute any direct lexical meaning to speech, but they provide crucial propositional context that aids semantic and pragmatic processes such as irony. It is thus important for artificial social agents to both understand and be able to generate speech with semantically-important paralanguage. Most speech datasets do not include transcribed non-lexical speech sounds and disfluencies, while those that do are typically multi-speaker datasets where each speaker provides relatively little audio. This makes it challenging to train conversational Text-to-Speech (TTS) synthesis models that include such paralinguistic components. We thus present DisfluencySpeech, a studio-quality labeled English speech dataset with paralanguage. A single speaker recreates nearly 10 hours of expressive utterances from the Switchboard-1 Telephone Speech Corpus (Switchboard), simulating realistic informal conversations. To aid the development of a TTS model that is able to predictively synthesise paralanguage from text without such components, we provide three different transcripts at different levels of information removal (removal of non-speech events, removal of non-sentence elements, and removal of false starts), as well as benchmark TTS models trained on each of these levels.

The rapid advancements in speech technologies over the past two decades have led to human-level performance in tasks like automatic speech recognition (ASR) for fluent speech. However, the efficacy of these models diminishes when applied to atypical speech, such as stuttering. This paper introduces AS-70, the first publicly available Mandarin stuttered speech dataset, which stands out as the largest dataset in its category. Encompassing conversational and voice command reading speech, AS-70 includes verbatim manual transcription, rendering it suitable for various speech-related tasks. Furthermore, baseline systems are established, and experimental results are presented for ASR and stuttering event detection (SED) tasks. By incorporating this dataset into the model fine-tuning, significant improvements in the state-of-the-art ASR models, e.g., Whisper and Hubert, are observed, enhancing their inclusivity in addressing stuttered speech.

Identifying effective interventions from the scientific literature is challenging due to the high volume of publications, specialized terminology, and inconsistent reporting formats, making manual curation laborious and prone to oversight. To address this challenge, this paper proposes a novel framework leveraging large language models (LLMs), which integrates a progressive ontology prompting (POP) algorithm with a dual-agent system, named LLM-Duo. On the one hand, the POP algorithm conducts a prioritized breadth-first search (BFS) across a predefined ontology, generating structured prompt templates and action sequences to guide the automatic annotation process. On the other hand, the LLM-Duo system features two specialized LLM agents, an explorer and an evaluator, working collaboratively and adversarially to continuously refine annotation quality. We showcase the real-world applicability of our framework through a case study focused on speech-language intervention discovery. Experimental results show that our approach surpasses advanced baselines, achieving more accurate and comprehensive annotations through a fully automated process. Our approach successfully identified 2,421 interventions from a corpus of 64,177 research articles in the speech-language pathology domain, culminating in the creation of a publicly accessible intervention knowledge base with great potential to benefit the speech-language pathology community.

Mental health is a significant and growing public health concern. As language usage can be leveraged to obtain crucial insights into mental health conditions, there is a need for large-scale, labeled, mental health-related datasets of users who have been diagnosed with one or more of such conditions. In this paper, we investigate the creation of high-precision patterns to identify self-reported diagnoses of nine different mental health conditions, and obtain high-quality labeled data without the need for manual labelling. We introduce the SMHD (Self-reported Mental Health Diagnoses) dataset and make it available. SMHD is a novel large dataset of social media posts from users with one or multiple mental health conditions along with matched control users. We examine distinctions in users' language, as measured by linguistic and psychological variables. We further explore text classification methods to identify individuals with mental conditions through their language.

Large language models (LLMs) chatbots like ChatGPT are increasingly used for mental health support. They offer accessible, therapeutic support but also raise concerns about misinformation, over-reliance, and risks in high-stakes contexts of mental health. We crowdsource large-scale users' posts from six major social media platforms to examine how people discuss their interactions with LLM chatbots across different mental health conditions. Through an LLM-assisted pipeline grounded in Value-Sensitive Design (VSD), we mapped the relationships across user-reported sentiments, mental health conditions, perspectives, and values. Our results reveal that the use of LLM chatbots is condition-specific. Users with neurodivergent conditions (e.g., ADHD, ASD) report strong positive sentiments and instrumental or appraisal support, whereas higher-risk disorders (e.g., schizophrenia, bipolar disorder) show more negative sentiments. We further uncover how user perspectives co-occur with underlying values, such as identity, autonomy, and privacy. Finally, we discuss shifting from "one-size-fits-all" chatbot design toward condition-specific, value-sensitive LLM design.

Speech-based analysis offers a scalable and non-invasive approach for detecting cognitive decline, yet progress has been constrained by the limited availability of clinically validated datasets collected under realistic conditions. We introduce PROCESS-2, a large-scale speech dataset designed to support research on automatic assessment of cognitive impairment from spontaneous and task-oriented speech. The dataset comprises recordings from 200 healthy controls, 150 mild cognitive impairment, and 50 dementia diagnoses collected using the CognoMemory digital assessment platform. Each participant completed a single assessment session, including picture description and verbal fluency tasks, accompanied by manually verified transcripts and participant-level metadata. PROCESS-2 contains approximately 21 hours of speech audio with predefined train/test partitions. Comprehensive technical validation evaluated demographic balance, clinical consistency, recording stability, embedding-space structure, and reproducible baseline modelling performance, demonstrating clinically meaningful group separation and stable performance across modelling approaches while preserving real-world conversational variability. PROCESS-2 is released under controlled access via Hugging Face to enable responsible reuse while protecting participant privacy, providing a reproducible benchmark resource for speech-based cognitive assessment research.

Intent is defined for understanding spoken language in existing works. Both textual features and acoustic features involved in medical speech contain intent, which is important for symptomatic diagnosis. In this paper, we propose a medical speech classification model named DRSC that automatically learns to disentangle intent and content representations from textual-acoustic data for classification. The intent representations of the text domain and the Mel-spectrogram domain are extracted via intent encoders, and then the reconstructed text feature and the Mel-spectrogram feature are obtained through two exchanges. After combining the intent from two domains into a joint representation, the integrated intent representation is fed into a decision layer for classification. Experimental results show that our model obtains an average accuracy rate of 95% in detecting 25 different medical symptoms.

Spontaneous speech has many affective and pragmatic functions that are interesting and challenging to model in TTS. However, the presence of reduced articulation, fillers, repetitions, and other disfluencies in spontaneous speech make the text and acoustics less aligned than in read speech, which is problematic for attention-based TTS. We propose a TTS architecture that can rapidly learn to speak from small and irregular datasets, while also reproducing the diversity of expressive phenomena present in spontaneous speech. Specifically, we add utterance-level prosody control to an existing neural HMM-based TTS system which is capable of stable, monotonic alignments for spontaneous speech. We objectively evaluate control accuracy and perform perceptual tests that demonstrate that prosody control does not degrade synthesis quality. To exemplify the power of combining prosody control and ecologically valid data for reproducing intricate spontaneous speech phenomena, we evaluate the system's capability of synthesizing two types of creaky voice. Audio samples are available at https://www.speech.kth.se/tts-demos/prosodic-hmm/

In this paper, we introduce a zero-shot Voice Transfer (VT) module that can be seamlessly integrated into a multi-lingual Text-to-speech (TTS) system to transfer an individual's voice across languages. Our proposed VT module comprises a speaker-encoder that processes reference speech, a bottleneck layer, and residual adapters, connected to preexisting TTS layers. We compare the performance of various configurations of these components and report Mean Opinion Score (MOS) and Speaker Similarity across languages. Using a single English reference speech per speaker, we achieve an average voice transfer similarity score of 73% across nine target languages. Vocal characteristics contribute significantly to the construction and perception of individual identity. The loss of one's voice, due to physical or neurological conditions, can lead to a profound sense of loss, impacting one's core identity. As a case study, we demonstrate that our approach can not only transfer typical speech but also restore the voices of individuals with dysarthria, even when only atypical speech samples are available - a valuable utility for those who have never had typical speech or banked their voice. Cross-lingual typical audio samples, plus videos demonstrating voice restoration for dysarthric speakers are available here (google.github.io/tacotron/publications/zero_shot_voice_transfer).

Respiratory diseases remain major global health challenges, and traditional auscultation is often limited by subjectivity, environmental noise, and inter-clinician variability. This study presents an explainable multimodal deep learning framework for automatic lung-disease detection using respiratory audio signals. The proposed system integrates two complementary representations: a spectral-temporal encoder based on a CNN-BiLSTM Attention architecture, and a handcrafted acoustic-feature encoder capturing physiologically meaningful descriptors such as MFCCs, spectral centroid, spectral bandwidth, and zero-crossing rate. These branches are combined through late-stage fusion to leverage both data-driven learning and domain-informed acoustic cues. The model is trained and evaluated on the Asthma Detection Dataset Version 2 using rigorous preprocessing, including resampling, normalization, noise filtering, data augmentation, and patient-level stratified partitioning. The study achieved strong generalization with 91.21% accuracy, 0.899 macro F1-score, and 0.9866 macro ROC-AUC, outperforming all ablated variants. An ablation study confirms the importance of temporal modeling, attention mechanisms, and multimodal fusion. The framework incorporates Grad-CAM, Integrated Gradients, and SHAP, generating interpretable spectral, temporal, and feature-level explanations aligned with known acoustic biomarkers to build clinical transparency. The findings demonstrate the framework's potential for telemedicine, point-of-care diagnostics, and real-world respiratory screening.

While the last decade has witnessed significant advancements in Automatic Speech Recognition (ASR) systems, performance of these systems for individuals with speech disabilities remains inadequate, partly due to limited public training data. To bridge this gap, the 2025 Interspeech Speech Accessibility Project (SAP) Challenge was launched, utilizing over 400 hours of SAP data collected and transcribed from more than 500 individuals with diverse speech disabilities. Hosted on EvalAI and leveraging the remote evaluation pipeline, the SAP Challenge evaluates submissions based on Word Error Rate and Semantic Score. Consequently, 12 out of 22 valid teams outperformed the whisper-large-v2 baseline in terms of WER, while 17 teams surpassed the baseline on SemScore. Notably, the top team achieved the lowest WER of 8.11\%, and the highest SemScore of 88.44\% at the same time, setting new benchmarks for future ASR systems in recognizing impaired speech.

Alzheimer's disease (AD) constitutes a complex neurocognitive disease and is the main cause of dementia. Although many studies have been proposed targeting at diagnosing dementia through spontaneous speech, there are still limitations. Existing state-of-the-art approaches, which propose multimodal methods, train separately language and acoustic models, employ majority-vote approaches, and concatenate the representations of the different modalities either at the input level, i.e., early fusion, or during training. Also, some of them employ self-attention layers, which calculate the dependencies between representations without considering the contextual information. In addition, no prior work has taken into consideration the model calibration. To address these limitations, we propose some new methods for detecting AD patients, which capture the intra- and cross-modal interactions. First, we convert the audio files into log-Mel spectrograms, their delta, and delta-delta and create in this way an image per audio file consisting of three channels. Next, we pass each transcript and image through BERT and DeiT models respectively. After that, context-based self-attention layers, self-attention layers with a gate model, and optimal transport domain adaptation methods are employed for capturing the intra- and inter-modal interactions. Finally, we exploit two methods for fusing the self and cross-attended features. For taking into account the model calibration, we apply label smoothing. We use both performance and calibration metrics. Experiments conducted on the ADReSS Challenge dataset indicate the efficacy of our introduced approaches over existing research initiatives with our best performing model reaching Accuracy and F1-score up to 91.25% and 91.06% respectively.

Student mental health is a sensitive issue that necessitates special attention. A primary concern is the student-to-counselor ratio, which surpasses the recommended standard of 250:1 in most universities. This imbalance results in extended waiting periods for in-person consultations, which cause suboptimal treatment. Significant efforts have been directed toward developing mental health dialogue systems utilizing the existing open-source mental health-related datasets. However, currently available datasets either discuss general topics or various strategies that may not be viable for direct application due to numerous ethical constraints inherent in this research domain. To address this issue, this paper introduces a specialized mental health dataset that emphasizes the active listening strategy employed in conversation for counseling, also named as ConvCounsel. This dataset comprises both speech and text data, which can facilitate the development of a reliable pipeline for mental health dialogue systems. To demonstrate the utility of the proposed dataset, this paper also presents the NYCUKA, a spoken mental health dialogue system that is designed by using the ConvCounsel dataset. The results show the merit of using this dataset.

Large language models (LLMs) have received much attention and shown their potential in digital health, while their application in mental health is subject to ongoing debate. This systematic review aims to summarize and characterize the use of LLMs in mental health by investigating the strengths and limitations of the latest work in LLMs and discusses the challenges and opportunities for early screening, digital interventions, and other clinical applications in mental health. Following PRISMA guidelines, we examined English articles from PubMed, DBLP Computer Science Bibliography, and IEEE Xplore, published between 1 January 2017, and 1 September 2023, focusing on mental health and LLMs. The review analyzed 32 articles, including mental health analysis using social media datasets (n=13), mental health chatbots (n=10), and other mental health applications (n=9). Findings reveal LLMs' effectiveness in mental health issue detection and the enhancement of telepsychological services through personalised healthcare. Nonetheless, risks like text inconsistencies, hallucinatory content, and the lack of an ethical framework raise concerns about their clinical use. Despite these challenges, the advancement of LLMs underscores their potential as innovative clinical tools, necessitating further research and development. The review emphasizes that LLMs should complement, not replace, professional mental health services.

Chronic Obstructive Pulmonary Disease (COPD), a major chronic respiratory disease with persistent airflow limitation, is a leading global cause of disability and mortality. Respiratory spirogram time series, routinely collected during pulmonary function tests (PFTs), play a critical role in the early detection of repsiratory diseases and in monitoring lung function over time. However, most current AI models for COPD diagnosis are limited to outputting classification results without providing a rationale for their diagnostic process, while current Large Language Models (LLMs) cannot understand spirograms yet, which severely limits their clinical trust and adoption. To tackle this challenge, we leverage a cohort of 234,028 individuals from the UK Biobank (UKB) to propose SpiroLLM, the first multimodal large language model that can understand spirogram. The model extracts morphological features from respiratory curves via a SpiroEncoder and aligns them with PFT numerical values in a unified latent space using a SpiroProjector, ultimately empowering a large language model to generate a comprehensive diagnostic report. Experimental results confirm that SpiroLLM achieved a diagnostic AUROC of 0.8980 (95% CI: 0.8820-0.9132). In a robustness test with missing core data, it maintained a 100% valid response rate, far surpassing the 13.4% of a text-only model and showcasing the superiority of its multimodal design. This work demonstrates the substantial potential of deeply fusing physiological signals with large language models, establishing a new paradigm for the next generation of interpretable and reliable clinical decision support tools.

Large language models (LLMs), including ChatGPT, Bard, and Llama, have achieved remarkable successes over the last two years in a range of different applications. In spite of these successes, there exist concerns that limit the wide application of LLMs. A key problem is the problem of hallucination. Hallucination refers to the fact that in addition to correct responses, LLMs can also generate seemingly correct but factually incorrect responses. This report aims to present a comprehensive review of the current literature on both hallucination detection and hallucination mitigation. We hope that this report can serve as a good reference for both engineers and researchers who are interested in LLMs and applying them to real world tasks.

Automatic speech recognition (ASR) research is driven by the availability of common datasets between industrial researchers and academics, encouraging comparisons and evaluations. LibriSpeech, despite its long success as an ASR benchmark, is now limited by its size and focus on clean, read speech, leading to near-zero word error rates. More recent datasets, including MOSEL, YODAS, Gigaspeech, OWSM, Libriheavy or People's Speech suffer from major limitations including licenses that researchers in the industry cannot use, unreliable transcriptions, incorrect audio data, or the lack of evaluation sets. This work presents the Loquacious Set, a 25,000-hour curated collection of commercially usable English speech. Featuring hundreds of thousands of speakers with diverse accents and a wide range of speech types (read, spontaneous, talks, clean, noisy), the Loquacious Set is designed to work for academics and researchers in the industry to build ASR systems in real-world scenarios.

Indonesia ranks fourth globally in the number of deaf cases. Individuals with hearing impairments often find communication challenging, necessitating the use of sign language. However, there are limited public services that offer such inclusivity. On the other hand, advancements in artificial intelligence (AI) present promising solutions to overcome communication barriers faced by the deaf. This study aims to explore the application of AI in developing models for a simplified sign language translation app and dictionary, designed for integration into public service facilities, to facilitate communication for individuals with hearing impairments, thereby enhancing inclusivity in public services. The researchers compared the performance of LSTM and 1D CNN + Transformer (1DCNNTrans) models for sign language recognition. Through rigorous testing and validation, it was found that the LSTM model achieved an accuracy of 94.67%, while the 1DCNNTrans model achieved an accuracy of 96.12%. Model performance evaluation indicated that although the LSTM exhibited lower inference latency, it showed weaknesses in classifying classes with similar keypoints. In contrast, the 1DCNNTrans model demonstrated greater stability and higher F1 scores for classes with varying levels of complexity compared to the LSTM model. Both models showed excellent performance, exceeding 90% validation accuracy and demonstrating rapid classification of 50 sign language gestures.

Despite the impressive capabilities of Large Language Models (LLMs) in general medical domains, questions remain about their performance in diagnosing rare diseases. To answer this question, we aim to assess the diagnostic performance of LLMs in rare diseases, and explore methods to enhance their effectiveness in this area. In this work, we introduce a rare disease question-answering (ReDis-QA) dataset to evaluate the performance of LLMs in diagnosing rare diseases. Specifically, we collected 1360 high-quality question-answer pairs within the ReDis-QA dataset, covering 205 rare diseases. Additionally, we annotated meta-data for each question, facilitating the extraction of subsets specific to any given disease and its property. Based on the ReDis-QA dataset, we benchmarked several open-source LLMs, revealing that diagnosing rare diseases remains a significant challenge for these models. To facilitate retrieval augmentation generation for rare disease diagnosis, we collect the first rare diseases corpus (ReCOP), sourced from the National Organization for Rare Disorders (NORD) database. Specifically, we split the report of each rare disease into multiple chunks, each representing a different property of the disease, including their overview, symptoms, causes, effects, related disorders, diagnosis, and standard therapies. This structure ensures that the information within each chunk aligns consistently with a question. Experiment results demonstrate that ReCOP can effectively improve the accuracy of LLMs on the ReDis-QA dataset by an average of 8%. Moreover, it significantly guides LLMs to generate trustworthy answers and explanations that can be traced back to existing literature.

Large language models (LLMs) have demonstrated impressive capabilities in disease diagnosis. However, their effectiveness in identifying rarer diseases, which are inherently more challenging to diagnose, remains an open question. Rare disease performance is critical with the increasing use of LLMs in healthcare settings. This is especially true if a primary care physician needs to make a rarer prognosis from only a patient conversation so that they can take the appropriate next step. To that end, several clinical decision support systems are designed to support providers in rare disease identification. Yet their utility is limited due to their lack of knowledge of common disorders and difficulty of use. In this paper, we propose RareScale to combine the knowledge LLMs with expert systems. We use jointly use an expert system and LLM to simulate rare disease chats. This data is used to train a rare disease candidate predictor model. Candidates from this smaller model are then used as additional inputs to black-box LLM to make the final differential diagnosis. Thus, RareScale allows for a balance between rare and common diagnoses. We present results on over 575 rare diseases, beginning with Abdominal Actinomycosis and ending with Wilson's Disease. Our approach significantly improves the baseline performance of black-box LLMs by over 17% in Top-5 accuracy. We also find that our candidate generation performance is high (e.g. 88.8% on gpt-4o generated chats).

Hallucinations of deep neural models are amongst key challenges in automatic speech recognition (ASR). In this paper, we investigate hallucinations of the Whisper ASR model induced by non-speech audio segments present during inference. By inducting hallucinations with various types of sounds, we show that there exists a set of hallucinations that appear frequently. We then study hallucinations caused by the augmentation of speech with such sounds. Finally, we describe the creation of a bag of hallucinations (BoH) that allows to remove the effect of hallucinations through the post-processing of text transcriptions. The results of our experiments show that such post-processing is capable of reducing word error rate (WER) and acts as a good safeguard against problematic hallucinations.

Multi-resolution spectro-temporal features of a speech signal represent how the brain perceives sounds by tuning cortical cells to different spectral and temporal modulations. These features produce a higher dimensional representation of the speech signals. The purpose of this paper is to evaluate how well the auditory cortex representation of speech signals contribute to estimate articulatory features of those corresponding signals. Since obtaining articulatory features from acoustic features of speech signals has been a challenging topic of interest for different speech communities, we investigate the possibility of using this multi-resolution representation of speech signals as acoustic features. We used U. of Wisconsin X-ray Microbeam (XRMB) database of clean speech signals to train a feed-forward deep neural network (DNN) to estimate articulatory trajectories of six tract variables. The optimal set of multi-resolution spectro-temporal features to train the model were chosen using appropriate scale and rate vector parameters to obtain the best performing model. Experiments achieved a correlation of 0.675 with ground-truth tract variables. We compared the performance of this speech inversion system with prior experiments conducted using Mel Frequency Cepstral Coefficients (MFCCs).

The delayed access to specialized psychiatric assessments and care for patients at risk of suicidal tendencies in emergency departments creates a notable gap in timely intervention, hindering the provision of adequate mental health support during critical situations. To address this, we present a non-invasive, speech-based approach for automatic suicide risk assessment. For our study, we have collected a novel dataset of speech recordings from 20 patients from which we extract three sets of features, including wav2vec, interpretable speech and acoustic features, and deep learning-based spectral representations. We proceed by conducting a binary classification to assess suicide risk in a leave-one-subject-out fashion. Our most effective speech model achieves a balanced accuracy of 66.2,%. Moreover, we show that integrating our speech model with a series of patients' metadata, such as the history of suicide attempts or access to firearms, improves the overall result. The metadata integration yields a balanced accuracy of 94.4,%, marking an absolute improvement of 28.2,%, demonstrating the efficacy of our proposed approaches for automatic suicide risk assessment in emergency medicine.

Mental health is a critical issue in modern society, and mental disorders could sometimes turn to suicidal ideation without adequate treatment. Early detection of mental disorders and suicidal ideation from social content provides a potential way for effective social intervention. Recent advances in pretrained contextualized language representations have promoted the development of several domain-specific pretrained models and facilitated several downstream applications. However, there are no existing pretrained language models for mental healthcare. This paper trains and release two pretrained masked language models, i.e., MentalBERT and MentalRoBERTa, to benefit machine learning for the mental healthcare research community. Besides, we evaluate our trained domain-specific models and several variants of pretrained language models on several mental disorder detection benchmarks and demonstrate that language representations pretrained in the target domain improve the performance of mental health detection tasks.

Africa has a very low doctor-to-patient ratio. At very busy clinics, doctors could see 30+ patients per day -- a heavy patient burden compared with developed countries -- but productivity tools such as clinical automatic speech recognition (ASR) are lacking for these overworked clinicians. However, clinical ASR is mature, even ubiquitous, in developed nations, and clinician-reported performance of commercial clinical ASR systems is generally satisfactory. Furthermore, the recent performance of general domain ASR is approaching human accuracy. However, several gaps exist. Several publications have highlighted racial bias with speech-to-text algorithms and performance on minority accents lags significantly. To our knowledge, there is no publicly available research or benchmark on accented African clinical ASR, and speech data is non-existent for the majority of African accents. We release AfriSpeech, 200hrs of Pan-African English speech, 67,577 clips from 2,463 unique speakers across 120 indigenous accents from 13 countries for clinical and general domain ASR, a benchmark test set, with publicly available pre-trained models with SOTA performance on the AfriSpeech benchmark.

Paralinguistic sounds, like laughter and sighs, are crucial for synthesizing more realistic and engaging speech. However, existing methods typically depend on proprietary datasets, while publicly available resources often suffer from incomplete speech, inaccurate or missing timestamps, and limited real-world relevance. To address these problems, we propose an automated framework for generating large-scale paralinguistic data and apply it to construct the SynParaSpeech dataset. The dataset comprises 6 paralinguistic categories with 118.75 hours of data and precise timestamps, all derived from natural conversational speech. Our contributions lie in introducing the first automated method for constructing large-scale paralinguistic datasets and releasing the SynParaSpeech corpus, which advances speech generation through more natural paralinguistic synthesis and enhances speech understanding by improving paralinguistic event detection. The dataset and audio samples are available at https://github.com/ShawnPi233/SynParaSpeech.

Research related to automatically detecting Alzheimer's disease (AD) is important, given the high prevalence of AD and the high cost of traditional methods. Since AD significantly affects the content and acoustics of spontaneous speech, natural language processing and machine learning provide promising techniques for reliably detecting AD. We compare and contrast the performance of two such approaches for AD detection on the recent ADReSS challenge dataset: 1) using domain knowledge-based hand-crafted features that capture linguistic and acoustic phenomena, and 2) fine-tuning Bidirectional Encoder Representations from Transformer (BERT)-based sequence classification models. We also compare multiple feature-based regression models for a neuropsychological score task in the challenge. We observe that fine-tuned BERT models, given the relative importance of linguistics in cognitive impairment detection, outperform feature-based approaches on the AD detection task.

This paper presents Att-HACK, the first large database of acted speech with social attitudes. Available databases of expressive speech are rare and very often restricted to the primary emotions: anger, joy, sadness, fear. This greatly limits the scope of the research on expressive speech. Besides, a fundamental aspect of speech prosody is always ignored and missing from such databases: its variety, i.e. the possibility to repeat an utterance while varying its prosody. This paper represents a first attempt to widen the scope of expressivity in speech, by providing a database of acted speech with social attitudes: friendly, seductive, dominant, and distant. The proposed database comprises 25 speakers interpreting 100 utterances in 4 social attitudes, with 3-5 repetitions each per attitude for a total of around 30 hours of speech. The Att-HACK is freely available for academic research under a Creative Commons Licence.

In today's interconnected globe, moving abroad is more and more prevalent, whether it's for employment, refugee resettlement, or other causes. Language difficulties between natives and immigrants present a common issue on a daily basis, especially in medical domain. This can make it difficult for patients and doctors to communicate during anamnesis or in the emergency room, which compromises patient care. The goal of the HYKIST Project is to develop a speech translation system to support patient-doctor communication with ASR and MT. ASR systems have recently displayed astounding performance on particular tasks for which enough quantities of training data are available, such as LibriSpeech. Building a good model is still difficult due to a variety of speaking styles, acoustic and recording settings, and a lack of in-domain training data. In this thesis, we describe our efforts to construct ASR systems for a conversational telephone speech recognition task in the medical domain for Vietnamese language to assist emergency room contact between doctors and patients across linguistic barriers. In order to enhance the system's performance, we investigate various training schedules and data combining strategies. We also examine how best to make use of the little data that is available. The use of publicly accessible models like XLSR-53 is compared to the use of customized pre-trained models, and both supervised and unsupervised approaches are utilized using wav2vec 2.0 as architecture.

Medical consultations are intrinsically speech-centric. However, most prior works focus on long-text-based interactions, which are cumbersome and patient-unfriendly. Recent advances in speech language models (SpeechLMs) have enabled more natural speech-based interaction, yet the scarcity of medical speech data and the inefficiency of directly fine-tuning on speech data jointly hinder the adoption of SpeechLMs in medical consultation. In this paper, we propose SpeechMedAssist, a SpeechLM natively capable of conducting speech-based multi-turn interactions with patients. By exploiting the architectural properties of SpeechLMs, we decouple the conventional one-stage training into a two-stage paradigm consisting of (1) Knowledge & Capability Injection via Text and (2) Modality Re-alignment with Limited Speech Data, thereby reducing the requirement for medical speech data to only 10k synthesized samples. To evaluate SpeechLMs for medical consultation scenarios, we design a benchmark comprising both single-turn question answering and multi-turn simulated interactions. Experimental results show that our model outperforms all baselines in both effectiveness and robustness in most evaluation settings.

Speech models may be affected by performance imbalance in different population subgroups, raising concerns about fair treatment across these groups. Prior attempts to mitigate unfairness either focus on user-defined subgroups, potentially overlooking other affected subgroups, or do not explicitly improve the internal representation at the subgroup level. This paper proposes the first adoption of contrastive learning to mitigate speech model bias in underperforming subgroups. We employ a three-level learning technique that guides the model in focusing on different scopes for the contrastive loss, i.e., task, subgroup, and the errors within subgroups. The experiments on two spoken language understanding datasets and two languages demonstrate that our approach improves internal subgroup representations, thus reducing model bias and enhancing performance.

Recent progress in Spoken Language Modeling has demonstrated the feasibility of learning language directly from speech. Generating speech through a pipeline that operates at the text level typically loses nuances, intonations, and non-verbal vocalizations. Modeling directly from speech opens up the path to more natural and expressive systems. On the other hand, speech-only systems tend to trail behind text-based language models in terms of their semantic abilities. We show that fine-tuning speech representation models on phoneme classification leads to more context-invariant representations, which in turn improve downstream language modeling performance.

This paper describes the speech processing activities conducted at the Polish consortium of the CLARIN project. The purpose of this segment of the project was to develop specific tools that would allow for automatic and semi-automatic processing of large quantities of acoustic speech data. The tools include the following: grapheme-to-phoneme conversion, speech-to-text alignment, voice activity detection, speaker diarization, keyword spotting and automatic speech transcription. Furthermore, in order to develop these tools, a large high-quality studio speech corpus was recorded and released under an open license, to encourage development in the area of Polish speech research. Another purpose of the corpus was to serve as a reference for studies in phonetics and pronunciation. All the tools and resources were released on the the Polish CLARIN website. This paper discusses the current status and future plans for the project.

Mispronunciation Detection and Diagnosis (MDD) systems, leveraging Automatic Speech Recognition (ASR), face two main challenges in Mandarin Chinese: 1) The two-stage models create an information gap between the phoneme or tone classification stage and the MDD stage. 2) The scarcity of Mandarin MDD datasets limits model training. In this paper, we introduce a stateless RNN-T model for Mandarin MDD, utilizing HuBERT features with pitch embedding through a Pitch Fusion Block. Our model, trained solely on native speaker data, shows a 3% improvement in Phone Error Rate and a 7% increase in False Acceptance Rate over the state-of-the-art baseline in non-native scenarios

Interpretability research has shown that self-supervised Spoken Language Models (SLMs) encode a wide variety of features in human speech from the acoustic, phonetic, phonological, syntactic and semantic levels, to speaker characteristics. The bulk of prior research on representations of phonology has focused on segmental features such as phonemes; the encoding of suprasegmental phonology (such as tone and stress patterns) in SLMs is not yet well understood. Tone is a suprasegmental feature that is present in more than half of the world's languages. This paper aims to analyze the tone encoding capabilities of SLMs, using Mandarin and Vietnamese as case studies. We show that SLMs encode lexical tone to a significant degree even when they are trained on data from non-tonal languages. We further find that SLMs behave similarly to native and non-native human participants in tone and consonant perception studies, but they do not follow the same developmental trajectory.

The limited availability of psychologists necessitates efficient identification of individuals requiring urgent mental healthcare. This study explores the use of Natural Language Processing (NLP) pipelines to analyze text data from online mental health forums used for consultations. By analyzing forum posts, these pipelines can flag users who may require immediate professional attention. A crucial challenge in this domain is data privacy and scarcity. To address this, we propose utilizing readily available curricular texts used in institutes specializing in mental health for pre-training the NLP pipelines. This helps us mimic the training process of a psychologist. Our work presents CASE-BERT that flags potential mental health disorders based on forum text. CASE-BERT demonstrates superior performance compared to existing methods, achieving an f1 score of 0.91 for Depression and 0.88 for Anxiety, two of the most commonly reported mental health disorders. Our code is publicly available.

In this paper we discuss an in-progress work on the development of a speech corpus for four low-resource Indo-Aryan languages -- Awadhi, Bhojpuri, Braj and Magahi using the field methods of linguistic data collection. The total size of the corpus currently stands at approximately 18 hours (approx. 4-5 hours each language) and it is transcribed and annotated with grammatical information such as part-of-speech tags, morphological features and Universal dependency relationships. We discuss our methodology for data collection in these languages, most of which was done in the middle of the COVID-19 pandemic, with one of the aims being to generate some additional income for low-income groups speaking these languages. In the paper, we also discuss the results of the baseline experiments for automatic speech recognition system in these languages.

In recent years, there has been growing interest in representing speech with discrete tokens, which serve as pseudo-text for speech language models (speechLMs) and as efficient intermediate representations for downstream tasks. These tokens are typically categorized as acoustic and phonetic tokens: the former holds detailed acoustic information for reconstruction while the latter mainly captures linguistic content. In human speech communication, however, unnecessary acoustic details such as speaker information are abstracted, while both linguistic and prosodic information are utilized for speech comprehension and production. Given this, neither type of token seems an ideal representation for tasks sensitive to prosody, such as speechLMs. In this study, we propose the Phonological Tokenizer, a method that fine-tunes phonetic tokens via differentiable k-means with a multi-task objective of ASR and speech resynthesis. Experimental validation on diverse tasks confirms that our tokens retain phonological (both linguistic and prosodic) information while appropriately discarding speaker identity.

Generalist Large Language Models (LLMs), such as GPT-4, have shown considerable promise in various domains, including medical diagnosis. Rare diseases, affecting approximately 300 million people worldwide, often have unsatisfactory clinical diagnosis rates primarily due to a lack of experienced physicians and the complexity of differentiating among many rare diseases. In this context, recent news such as "ChatGPT correctly diagnosed a 4-year-old's rare disease after 17 doctors failed" underscore LLMs' potential, yet underexplored, role in clinically diagnosing rare diseases. To bridge this research gap, we introduce RareBench, a pioneering benchmark designed to systematically evaluate the capabilities of LLMs on 4 critical dimensions within the realm of rare diseases. Meanwhile, we have compiled the largest open-source dataset on rare disease patients, establishing a benchmark for future studies in this domain. To facilitate differential diagnosis of rare diseases, we develop a dynamic few-shot prompt methodology, leveraging a comprehensive rare disease knowledge graph synthesized from multiple knowledge bases, significantly enhancing LLMs' diagnostic performance. Moreover, we present an exhaustive comparative study of GPT-4's diagnostic capabilities against those of specialist physicians. Our experimental findings underscore the promising potential of integrating LLMs into the clinical diagnostic process for rare diseases. This paves the way for exciting possibilities in future advancements in this field.

Disentangling uncorrelated information in speech utterances is a crucial research topic within speech community. Different speech-related tasks focus on extracting distinct speech representations while minimizing the affects of other uncorrelated information. We present a large-scale speech corpus to facilitate the research of speech representation disentanglement. 3D-Speaker contains over 10,000 speakers, each of whom are simultaneously recorded by multiple Devices, locating at different Distances, and some speakers are speaking multiple Dialects. The controlled combinations of multi-dimensional audio data yield a matrix of a diverse blend of speech representation entanglement, thereby motivating intriguing methods to untangle them. The multi-domain nature of 3D-Speaker also makes it a suitable resource to evaluate large universal speech models and experiment methods of out-of-domain learning and self-supervised learning. https://3dspeaker.github.io/

Human spoken communication involves not only lexical content but also non-verbal vocalizations (NVs) such as laughter, sighs, and coughs, which convey emotions, intentions, and social signals. However, most existing speech systems focus solely on verbal content and lack the ability to understand and generate such non-verbal cues, reducing the emotional intelligence and communicative richness of spoken interfaces. In this work, we introduce NonVerbalSpeech-38K, a large and diverse dataset for non-verbal speech generation and understanding, collected from real-world media and annotated using an automatic pipeline. The dataset contains 38,718 samples (about 131 hours) with 10 categories of non-verbal cues, such as laughter, sniff, and throat clearing. We further validate the dataset by fine-tuning state-of-the-art models, including F5-TTS and Qwen2-Audio, demonstrating its effectiveness in non-verbal speech generation and understanding tasks. Our contributions are threefold: (1) We propose a practical pipeline for building natural and diverse non-verbal speech datasets; (2) We release a large-scale dataset to advance research on non-verbal speech generation and understanding; (3) We validate the dataset's effectiveness by demonstrating improvements in both non-verbal speech synthesis and captioning, thereby facilitating richer human-computer interaction.

Language Models (LMs) are being proposed for mental health applications where the heightened risk of adverse outcomes means predictive performance may not be a sufficient litmus test of a model's utility in clinical practice. A model that can be trusted for practice should have a correspondence between explanation and clinical determination, yet no prior research has examined the attention fidelity of these models and their effect on ground truth explanations. We introduce an evaluation design that focuses on the robustness and explainability of LMs in identifying Wellness Dimensions (WDs). We focus on two existing mental health and well-being datasets: (a) Multi-label Classification-based MultiWD, and (b) WellXplain for evaluating attention mechanism veracity against expert-labeled explanations. The labels are based on Halbert Dunn's theory of wellness, which gives grounding to our evaluation. We reveal four surprising results about LMs/LLMs: (1) Despite their human-like capabilities, GPT-3.5/4 lag behind RoBERTa, and MedAlpaca, a fine-tuned LLM on WellXplain fails to deliver any remarkable improvements in performance or explanations. (2) Re-examining LMs' predictions based on a confidence-oriented loss function reveals a significant performance drop. (3) Across all LMs/LLMs, the alignment between attention and explanations remains low, with LLMs scoring a dismal 0.0. (4) Most mental health-specific LMs/LLMs overlook domain-specific knowledge and undervalue explanations, causing these discrepancies. This study highlights the need for further research into their consistency and explanations in mental health and well-being.

Designing a natural voice interface rely mostly on Speech recognition for interaction between human and their modern digital life equipment. In addition, speech recognition narrows the gap between monolingual individuals to better exchange communication. However, the field lacks wide support for several universal languages and their dialects, while most of the daily conversations are carried out using them. This paper comes to inspect the viability of designing an Automatic Speech Recognition model for the Sudanese dialect, which is one of the Arabic Language dialects, and its complexity is a product of historical and social conditions unique to its speakers. This condition is reflected in both the form and content of the dialect, so this paper gives an overview of the Sudanese dialect and the tasks of collecting represented resources and pre-processing performed to construct a modest dataset to overcome the lack of annotated data. Also proposed end- to-end speech recognition model, the design of the model was formed using Convolution Neural Networks. The Sudanese dialect dataset would be a stepping stone to enable future Natural Language Processing research targeting the dialect. The designed model provided some insights into the current recognition task and reached an average Label Error Rate of 73.67%.

As large language models transition from text-based interfaces to audio interactions in clinical settings, they might introduce new vulnerabilities through paralinguistic cues in audio. We evaluated these models on 170 clinical cases, each synthesized into speech from 36 distinct voice profiles spanning variations in age, gender, and emotion. Our findings reveal a severe modality bias: surgical recommendations for audio inputs varied by as much as 35% compared to identical text-based inputs, with one model providing 80% fewer recommendations. Further analysis uncovered age disparities of up to 12% between young and elderly voices, which persisted in most models despite chain-of-thought prompting. While explicit reasoning successfully eliminated gender bias, the impact of emotion was not detected due to poor recognition performance. These results demonstrate that audio LLMs are susceptible to making clinical decisions based on a patient's voice characteristics rather than medical evidence, a flaw that risks perpetuating healthcare disparities. We conclude that bias-aware architectures are essential and urgently needed before the clinical deployment of these models.

In this paper, we present a 170.83 hour Indian English spontaneous speech dataset. Lack of Indian English speech data is one of the major hindrances in developing robust speech systems which are adapted to the Indian speech style. Moreover this scarcity is even more for spontaneous speech. This corpus is crowd sourced over varied Indian nativities, genders and age groups. Traditional spontaneous speech collection strategies involve capturing of speech during interviewing or conversations. In this study, we use images as stimuli to induce spontaneity in speech. Transcripts for 23 hours is generated and validated which can serve as a spontaneous speech ASR benchmark. Quality of the corpus is validated with voice activity detection based segmentation, gender verification and image semantic correlation. Which determines a relationship between image stimulus and recorded speech using caption keywords derived from Image2Text model and high occurring words derived from whisper ASR generated transcripts.

Automatic disease diagnosis has become increasingly valuable in clinical practice. The advent of large language models (LLMs) has catalyzed a paradigm shift in artificial intelligence, with growing evidence supporting the efficacy of LLMs in diagnostic tasks. Despite the increasing attention in this field, a holistic view is still lacking. Many critical aspects remain unclear, such as the diseases and clinical data to which LLMs have been applied, the LLM techniques employed, and the evaluation methods used. In this article, we perform a comprehensive review of LLM-based methods for disease diagnosis. Our review examines the existing literature across various dimensions, including disease types and associated clinical specialties, clinical data, LLM techniques, and evaluation methods. Additionally, we offer recommendations for applying and evaluating LLMs for diagnostic tasks. Furthermore, we assess the limitations of current research and discuss future directions. To our knowledge, this is the first comprehensive review for LLM-based disease diagnosis.

Abusive language is a growing concern in many social media platforms. Repeated exposure to abusive speech has created physiological effects on the target users. Thus, the problem of abusive language should be addressed in all forms for online peace and safety. While extensive research exists in abusive speech detection, most studies focus on English. Recently, many smearing incidents have occurred in India, which provoked diverse forms of abusive speech in online space in various languages based on the geographic location. Therefore it is essential to deal with such malicious content. In this paper, to bridge the gap, we demonstrate a large-scale analysis of multilingual abusive speech in Indic languages. We examine different interlingual transfer mechanisms and observe the performance of various multilingual models for abusive speech detection for eight different Indic languages. We also experiment to show how robust these models are on adversarial attacks. Finally, we conduct an in-depth error analysis by looking into the models' misclassified posts across various settings. We have made our code and models public for other researchers.

Depression is a common mental disorder. Automatic depression detection tools using speech, enabled by machine learning, help early screening of depression. This paper addresses two limitations that may hinder the clinical implementations of such tools: noise resulting from segment-level labelling and a lack of model interpretability. We propose a bi-modal speech-level transformer to avoid segment-level labelling and introduce a hierarchical interpretation approach to provide both speech-level and sentence-level interpretations, based on gradient-weighted attention maps derived from all attention layers to track interactions between input features. We show that the proposed model outperforms a model that learns at a segment level (p=0.854, r=0.947, F1=0.947 compared to p=0.732, r=0.808, F1=0.768). For model interpretation, using one true positive sample, we show which sentences within a given speech are most relevant to depression detection; and which text tokens and Mel-spectrogram regions within these sentences are most relevant to depression detection. These interpretations allow clinicians to verify the validity of predictions made by depression detection tools, promoting their clinical implementations.

This paper presents the development of a prototype Automatic Speech Recognition (ASR) system specifically designed for Bengali biomedical data. Recent advancements in Bengali ASR are encouraging, but a lack of domain-specific data limits the creation of practical healthcare ASR models. This project bridges this gap by developing an ASR system tailored for Bengali medical terms like symptoms, severity levels, and diseases, encompassing two major dialects: Bengali and Sylheti. We train and evaluate two popular ASR frameworks on a comprehensive 46-hour Bengali medical corpus. Our core objective is to create deployable health-domain ASR systems for digital health applications, ultimately increasing accessibility for non-technical users in the healthcare sector.

Background: Rapid advancements in natural language processing have led to the development of large language models with the potential to revolutionize mental health care. These models have shown promise in assisting clinicians and providing support to individuals experiencing various psychological challenges. Objective: This study aims to compare the performance of two large language models, GPT-4 and Chat-GPT, in responding to a set of 18 psychological prompts, to assess their potential applicability in mental health care settings. Methods: A blind methodology was employed, with a clinical psychologist evaluating the models' responses without knowledge of their origins. The prompts encompassed a diverse range of mental health topics, including depression, anxiety, and trauma, to ensure a comprehensive assessment. Results: The results demonstrated a significant difference in performance between the two models (p > 0.05). GPT-4 achieved an average rating of 8.29 out of 10, while Chat-GPT received an average rating of 6.52. The clinical psychologist's evaluation suggested that GPT-4 was more effective at generating clinically relevant and empathetic responses, thereby providing better support and guidance to potential users. Conclusions: This study contributes to the growing body of literature on the applicability of large language models in mental health care settings. The findings underscore the importance of continued research and development in the field to optimize these models for clinical use. Further investigation is necessary to understand the specific factors underlying the performance differences between the two models and to explore their generalizability across various populations and mental health conditions.

The advancement of speech technology has predominantly favored high-resource languages, creating a significant digital divide for speakers of most Sub-Saharan African languages. To address this gap, we introduce WAXAL, a large-scale, openly accessible speech dataset for 21 languages representing over 100 million speakers. The collection consists of two main components: an Automated Speech Recognition (ASR) dataset containing approximately 1,250 hours of transcribed, natural speech from a diverse range of speakers, and a Text-to-Speech (TTS) dataset with over 180 hours of high-quality, single-speaker recordings reading phonetically balanced scripts. This paper details our methodology for data collection, annotation, and quality control, which involved partnerships with four African academic and community organizations. We provide a detailed statistical overview of the dataset and discuss its potential limitations and ethical considerations. The WAXAL datasets are released at https://huggingface.co/datasets/google/WaxalNLP under the permissive CC-BY-4.0 license to catalyze research, enable the development of inclusive technologies, and serve as a vital resource for the digital preservation of these languages.

Speech inherently contains rich acoustic information that extends far beyond the textual language. In real-world spoken language understanding, effective interpretation often requires integrating semantic meaning (e.g., content), paralinguistic features (e.g., emotions, speed, pitch) and phonological characteristics (e.g., prosody, intonation, rhythm), which are embedded in speech. While recent multimodal Speech Large Language Models (SpeechLLMs) have demonstrated remarkable capabilities in processing audio information, their ability to perform fine-grained perception and complex reasoning in natural speech remains largely unexplored. To address this gap, we introduce MMSU, a comprehensive benchmark designed specifically for understanding and reasoning in spoken language. MMSU comprises 5,000 meticulously curated audio-question-answer triplets across 47 distinct tasks. To ground our benchmark in linguistic theory, we systematically incorporate a wide range of linguistic phenomena, including phonetics, prosody, rhetoric, syntactics, semantics, and paralinguistics. Through a rigorous evaluation of 14 advanced SpeechLLMs, we identify substantial room for improvement in existing models, highlighting meaningful directions for future optimization. MMSU establishes a new standard for comprehensive assessment of spoken language understanding, providing valuable insights for developing more sophisticated human-AI speech interaction systems. MMSU benchmark is available at https://huggingface.co/datasets/ddwang2000/MMSU. Evaluation Code is available at https://github.com/dingdongwang/MMSU_Bench.

Introduction: Electronic health records (EHR) are a critical medium through which patient stigmatization is perpetuated among healthcare teams. Methods: We identified linguistic features of doubt markers and stigmatizing labels in MIMIC-III EHR via expanded lexicon matching and supervised learning classifiers. Predictors of rates of linguistic features were assessed using Poisson regression models. Results: We found higher rates of stigmatizing labels per chart among patients who were Black or African American (RR: 1.16), patients with Medicare/Medicaid or government-run insurance (RR: 2.46), self-pay (RR: 2.12), and patients with a variety of stigmatizing disease and mental health conditions. Patterns among doubt markers were similar, though male patients had higher rates of doubt markers (RR: 1.25). We found increased stigmatizing labels used by nurses (RR: 1.40), and social workers (RR: 2.25), with similar patterns of doubt markers. Discussion: Stigmatizing language occurred at higher rates among historically stigmatized patients, perpetuated by multiple provider types.

Warning: This paper may contain texts with uncomfortable content. Large Language Models (LLMs) have achieved remarkable performance in various tasks, including those involving multimodal data like speech. However, these models often exhibit biases due to the nature of their training data. Recently, more Speech Large Language Models (SLLMs) have emerged, underscoring the urgent need to address these biases. This study introduces Spoken Stereoset, a dataset specifically designed to evaluate social biases in SLLMs. By examining how different models respond to speech from diverse demographic groups, we aim to identify these biases. Our experiments reveal significant insights into their performance and bias levels. The findings indicate that while most models show minimal bias, some still exhibit slightly stereotypical or anti-stereotypical tendencies.

Speech provides a natural way for human-computer interaction. In particular, speech synthesis systems are popular in different applications, such as personal assistants, GPS applications, screen readers and accessibility tools. However, not all languages are on the same level when in terms of resources and systems for speech synthesis. This work consists of creating publicly available resources for Brazilian Portuguese in the form of a novel dataset along with deep learning models for end-to-end speech synthesis. Such dataset has 10.5 hours from a single speaker, from which a Tacotron 2 model with the RTISI-LA vocoder presented the best performance, achieving a 4.03 MOS value. The obtained results are comparable to related works covering English language and the state-of-the-art in Portuguese.

This paper presents an overview of a program designed to address the growing need for developing freely available speech resources for under-represented languages. At present we have released 38 datasets for building text-to-speech and automatic speech recognition applications for languages and dialects of South and Southeast Asia, Africa, Europe and South America. The paper describes the methodology used for developing such corpora and presents some of our findings that could benefit under-represented language communities.

Despite regulations imposed by nations and social media platforms, such as recent EU regulations targeting digital violence, abusive content persists as a significant challenge. Existing approaches primarily rely on binary solutions, such as outright blocking or banning, yet fail to address the complex nature of abusive speech. In this work, we propose a more comprehensive approach called Demarcation scoring abusive speech based on four aspect -- (i) severity scale; (ii) presence of a target; (iii) context scale; (iv) legal scale -- and suggesting more options of actions like detoxification, counter speech generation, blocking, or, as a final measure, human intervention. Through a thorough analysis of abusive speech regulations across diverse jurisdictions, platforms, and research papers we highlight the gap in preventing measures and advocate for tailored proactive steps to combat its multifaceted manifestations. Our work aims to inform future strategies for effectively addressing abusive speech online.

Speech encompasses a wealth of information, including but not limited to content, paralinguistic, and environmental information. This comprehensive nature of speech significantly impacts communication and is crucial for human-computer interaction. Chat-Oriented Large Language Models (LLMs), known for their general-purpose assistance capabilities, have evolved to handle multi-modal inputs, including speech. Although these models can be adept at recognizing and analyzing speech, they often fall short of generating appropriate responses. We argue that this is due to the lack of principles on task definition and model development, which requires open-source datasets and metrics suitable for model evaluation. To bridge the gap, we present SD-Eval, a benchmark dataset aimed at multidimensional evaluation of spoken dialogue understanding and generation. SD-Eval focuses on paralinguistic and environmental information and includes 7,303 utterances, amounting to 8.76 hours of speech data. The data is aggregated from eight public datasets, representing four perspectives: emotion, accent, age, and background sound. To assess the SD-Eval benchmark dataset, we implement three different models and construct a training set following a similar process as SD-Eval. The training set contains 1,052.72 hours of speech data and 724.4k utterances. We also conduct a comprehensive evaluation using objective evaluation methods (e.g. BLEU and ROUGE), subjective evaluations and LLM-based metrics for the generated responses. Models conditioned with paralinguistic and environmental information outperform their counterparts in both objective and subjective measures. Moreover, experiments demonstrate LLM-based metrics show a higher correlation with human evaluation compared to traditional metrics. We open-source SD-Eval at https://github.com/amphionspace/SD-Eval.

Language barriers present a great challenge in our increasingly connected and global world. Especially within the medical domain, e.g. hospital or emergency room, communication difficulties and delays may lead to malpractice and non-optimal patient care. In the HYKIST project, we consider patient-physician communication, more specifically between a German-speaking physician and an Arabic- or Vietnamese-speaking patient. Currently, a doctor can call the Triaphon service to get assistance from an interpreter in order to help facilitate communication. The HYKIST goal is to support the usually non-professional bilingual interpreter with an automatic speech translation system to improve patient care and help overcome language barriers. In this work, we present our ASR system development efforts for this conversational telephone speech translation task in the medical domain for two languages pairs, data collection, various acoustic model architectures and dialect-induced difficulties.

This work is concerned with devising a robust Parkinson's (PD) disease detector from speech in real-world operating conditions using (i) foundational models, and (ii) speech enhancement (SE) methods. To this end, we first fine-tune several foundational-based models on the standard PC-GITA (s-PC-GITA) clean data. Our results demonstrate superior performance to previously proposed models. Second, we assess the generalization capability of the PD models on the extended PC-GITA (e-PC-GITA) recordings, collected in real-world operative conditions, and observe a severe drop in performance moving from ideal to real-world conditions. Third, we align training and testing conditions applaying off-the-shelf SE techniques on e-PC-GITA, and a significant boost in performance is observed only for the foundational-based models. Finally, combining the two best foundational-based models trained on s-PC-GITA, namely WavLM Base and Hubert Base, yielded top performance on the enhanced e-PC-GITA.

AfriVoices-KE is a large-scale multilingual speech dataset comprising approximately 3,000 hours of audio across five Kenyan languages: Dholuo, Kikuyu, Kalenjin, Maasai, and Somali. The dataset includes 750 hours of scripted speech and 2,250 hours of spontaneous speech, collected from 4,777 native speakers across diverse regions and demographics. This work addresses the critical underrepresentation of African languages in speech technology by providing a high-quality, linguistically diverse resource. Data collection followed a dual methodology: scripted recordings drew from compiled text corpora, translations, and domain-specific generated sentences spanning eleven domains relevant to the Kenyan context, while unscripted speech was elicited through textual and image prompts to capture natural linguistic variation and dialectal nuances. A customized mobile application enabled contributors to record using smartphones. Quality assurance operated at multiple layers, encompassing automated signal-to-noise ratio validation prior to recording and human review for content accuracy. Though the project encountered challenges common to low-resource settings, including unreliable infrastructure, device compatibility issues, and community trust barriers, these were mitigated through local mobilizers, stakeholder partnerships, and adaptive training protocols. AfriVoices-KE provides a foundational resource for developing inclusive automatic speech recognition and text-to-speech systems, while advancing the digital preservation of Kenya's linguistic heritage.

The phonological discrepancies between a speaker's native (L1) and the non-native language (L2) serves as a major factor for mispronunciation. This paper introduces a novel multilingual MDD architecture, L1-MultiMDD, enriched with L1-aware speech representation. An end-to-end speech encoder is trained on the input signal and its corresponding reference phoneme sequence. First, an attention mechanism is deployed to align the input audio with the reference phoneme sequence. Afterwards, the L1-L2-speech embedding are extracted from an auxiliary model, pretrained in a multi-task setup identifying L1 and L2 language, and are infused with the primary network. Finally, the L1-MultiMDD is then optimized for a unified multilingual phoneme recognition task using connectionist temporal classification (CTC) loss for the target languages: English, Arabic, and Mandarin. Our experiments demonstrate the effectiveness of the proposed L1-MultiMDD framework on both seen -- L2-ARTIC, LATIC, and AraVoiceL2v2; and unseen -- EpaDB and Speechocean762 datasets. The consistent gains in PER, and false rejection rate (FRR) across all target languages confirm our approach's robustness, efficacy, and generalizability.

Hallucinations are a type of output error produced by deep neural networks. While this has been studied in natural language processing, they have not been researched previously in automatic speech recognition. Here, we define hallucinations in ASR as transcriptions generated by a model that are semantically unrelated to the source utterance, yet still fluent and coherent. The similarity of hallucinations to probable natural language outputs of the model creates a danger of deception and impacts the credibility of the system. We show that commonly used metrics, such as word error rates, cannot differentiate between hallucinatory and non-hallucinatory models. To address this, we propose a perturbation-based method for assessing the susceptibility of an automatic speech recognition (ASR) model to hallucination at test time, which does not require access to the training dataset. We demonstrate that this method helps to distinguish between hallucinatory and non-hallucinatory models that have similar baseline word error rates. We further explore the relationship between the types of ASR errors and the types of dataset noise to determine what types of noise are most likely to create hallucinatory outputs. We devise a framework for identifying hallucinations by analysing their semantic connection with the ground truth and their fluency. Finally, we discover how to induce hallucinations with a random noise injection to the utterance.

This paper introduces RyanSpeech, a new speech corpus for research on automated text-to-speech (TTS) systems. Publicly available TTS corpora are often noisy, recorded with multiple speakers, or lack quality male speech data. In order to meet the need for a high quality, publicly available male speech corpus within the field of speech recognition, we have designed and created RyanSpeech which contains textual materials from real-world conversational settings. These materials contain over 10 hours of a professional male voice actor's speech recorded at 44.1 kHz. This corpus's design and pipeline make RyanSpeech ideal for developing TTS systems in real-world applications. To provide a baseline for future research, protocols, and benchmarks, we trained 4 state-of-the-art speech models and a vocoder on RyanSpeech. The results show 3.36 in mean opinion scores (MOS) in our best model. We have made both the corpus and trained models for public use.

In this paper, we present an update to the NISQA speech quality prediction model that is focused on distortions that occur in communication networks. In contrast to the previous version, the model is trained end-to-end and the time-dependency modelling and time-pooling is achieved through a Self-Attention mechanism. Besides overall speech quality, the model also predicts the four speech quality dimensions Noisiness, Coloration, Discontinuity, and Loudness, and in this way gives more insight into the cause of a quality degradation. Furthermore, new datasets with over 13,000 speech files were created for training and validation of the model. The model was finally tested on a new, live-talking test dataset that contains recordings of real telephone calls. Overall, NISQA was trained and evaluated on 81 datasets from different sources and showed to provide reliable predictions also for unknown speech samples. The code, model weights, and datasets are open-sourced.

Automatic Speech Recognition (ASR) is increasingly used to document clinical encounters, yet its reliability in multilingual and demographically diverse Indian healthcare contexts remains largely unknown. In this study, we conduct the first systematic audit of ASR performance on real world clinical interview data spanning Kannada, Hindi, and Indian English, comparing leading models including Indic Whisper, Whisper, Sarvam, Google speech to text, Gemma3n, Omnilingual, Vaani, and Gemini. We evaluate transcription accuracy across languages, speakers, and demographic subgroups, with a particular focus on error patterns affecting patients vs. clinicians and gender based or intersectional disparities. Our results reveal substantial variability across models and languages, with some systems performing competitively on Indian English but failing on code mixed or vernacular speech. We also uncover systematic performance gaps tied to speaker role and gender, raising concerns about equitable deployment in clinical settings. By providing a comprehensive multilingual benchmark and fairness analysis, our work highlights the need for culturally and demographically inclusive ASR development for healthcare ecosystem in India.

Natural language processing (NLP) is becoming an important means for automatic recognition of human traits and states, such as intoxication, presence of psychiatric disorders, presence of airway disorders and states of stress. Such applications have the potential to be an important pillar for online help lines, and may gradually be introduced into eHealth modules. However, NLP is language specific and for languages such as Dutch, NLP models are scarce. As a result, recent Dutch NLP models have a low capture of long range semantic dependencies over sentences. To overcome this, here we present belabBERT, a new Dutch language model extending the RoBERTa architecture. belabBERT is trained on a large Dutch corpus (+32 GB) of web crawled texts. We applied belabBERT to the classification of psychiatric illnesses. First, we evaluated the strength of text-based classification using belabBERT, and compared the results to the existing RobBERT model. Then, we compared the performance of belabBERT to audio classification for psychiatric disorders. Finally, a brief exploration was performed, extending the framework to a hybrid text- and audio-based classification. Our results show that belabBERT outperformed the current best text classification network for Dutch, RobBERT. belabBERT also outperformed classification based on audio alone.

Due to privacy restrictions, there's a shortage of publicly available speech recognition datasets in the medical domain. In this work, we present VietMed - a Vietnamese speech recognition dataset in the medical domain comprising 16h of labeled medical speech, 1000h of unlabeled medical speech and 1200h of unlabeled general-domain speech. To our best knowledge, VietMed is by far the world's largest public medical speech recognition dataset in 7 aspects: total duration, number of speakers, diseases, recording conditions, speaker roles, unique medical terms and accents. VietMed is also by far the largest public Vietnamese speech dataset in terms of total duration. Additionally, we are the first to present a medical ASR dataset covering all ICD-10 disease groups and all accents within a country. Moreover, we release the first public large-scale pre-trained models for Vietnamese ASR, w2v2-Viet and XLSR-53-Viet, along with the first public large-scale fine-tuned models for medical ASR. Even without any medical data in unsupervised pre-training, our best pre-trained model XLSR-53-Viet generalizes very well to the medical domain by outperforming state-of-the-art XLSR-53, from 51.8% to 29.6% WER on test set (a relative reduction of more than 40%). All code, data and models are made publicly available here: https://github.com/leduckhai/MultiMed.

Speech brain-computer interfaces aim to decipher what a person is trying to say from neural activity alone, restoring communication to people with paralysis who have lost the ability to speak intelligibly. The Brain-to-Text Benchmark '24 and associated competition was created to foster the advancement of decoding algorithms that convert neural activity to text. Here, we summarize the lessons learned from the competition ending on June 1, 2024 (the top 4 entrants also presented their experiences in a recorded webinar). The largest improvements in accuracy were achieved using an ensembling approach, where the output of multiple independent decoders was merged using a fine-tuned large language model (an approach used by all 3 top entrants). Performance gains were also found by improving how the baseline recurrent neural network (RNN) model was trained, including by optimizing learning rate scheduling and by using a diphone training objective. Improving upon the model architecture itself proved more difficult, however, with attempts to use deep state space models or transformers not yet appearing to offer a benefit over the RNN baseline. The benchmark will remain open indefinitely to support further work towards increasing the accuracy of brain-to-text algorithms.

Background Major depressive disorder (MDD) is a leading cause of global disability, yet current diagnostic approaches often rely on subjective assessments and lack the ability to integrate multimodal clinical information. Large language models (LLMs) hold promise for enhancing diagnostic accuracy through advanced reasoning but face challenges in interpretability, hallucination, and reliance on synthetic data. Methods We developed MDD-Thinker, an LLM-based diagnostic framework that integrates supervised fine-tuning (SFT) with reinforcement learning (RL) to strengthen reasoning ability and interpretability. Using the UK Biobank dataset, we generated 40,000 reasoning samples, supplemented with 10,000 samples from publicly available mental health datasets. The model was fine-tuned on these reasoning corpora, and its diagnostic and reasoning performance was evaluated against machine learning, deep learning, and state-of-the-art LLM baselines. Findings MDD-Thinker achieved an accuracy of 0.8268 and F1-score of 0.8081, significantly outperforming traditional baselines such as SVM and MLP, as well as general-purpose LLMs. Incorporating both SFT and RL yielded the greatest improvements, with relative gains of 29.0% in accuracy, 38.1% in F1-score, and 34.8% in AUC. Moreover, the model demonstrated comparable reasoning performance compared to much larger LLMs, while maintaining computational efficiency. Interpretation This study presents the first reasoning-enhanced LLM framework for MDD diagnosis trained on large-scale real-world clinical data. By integrating SFT and RL, MDD-Thinker balances accuracy, interpretability, and efficiency, offering a scalable approach for intelligent psychiatric diagnostics. These findings suggest that reasoning-oriented LLMs can provide clinically reliable support for MDD detection and may inform broader applications in mental health care.

Mental health remains a challenging problem all over the world, with issues like depression, anxiety becoming increasingly common. Large Language Models (LLMs) have seen a vast application in healthcare, specifically in answering medical questions. However, there is a lack of standard benchmarking datasets for question answering (QA) in mental health. Our work presents a novel multiple choice dataset, MHQA (Mental Health Question Answering), for benchmarking Language models (LMs). Previous mental health datasets have focused primarily on text classification into specific labels or disorders. MHQA, on the other hand, presents question-answering for mental health focused on four key domains: anxiety, depression, trauma, and obsessive/compulsive issues, with diverse question types, namely, factoid, diagnostic, prognostic, and preventive. We use PubMed abstracts as the primary source for QA. We develop a rigorous pipeline for LLM-based identification of information from abstracts based on various selection criteria and converting it into QA pairs. Further, valid QA pairs are extracted based on post-hoc validation criteria. Overall, our MHQA dataset consists of 2,475 expert-verified gold standard instances called MHQA-gold and ~56.1k pairs pseudo labeled using external medical references. We report F1 scores on different LLMs along with few-shot and supervised fine-tuning experiments, further discussing the insights for the scores.

The remarkable success of transformers in the field of natural language processing has sparked the interest of the speech-processing community, leading to an exploration of their potential for modeling long-range dependencies within speech sequences. Recently, transformers have gained prominence across various speech-related domains, including automatic speech recognition, speech synthesis, speech translation, speech para-linguistics, speech enhancement, spoken dialogue systems, and numerous multimodal applications. In this paper, we present a comprehensive survey that aims to bridge research studies from diverse subfields within speech technology. By consolidating findings from across the speech technology landscape, we provide a valuable resource for researchers interested in harnessing the power of transformers to advance the field. We identify the challenges encountered by transformers in speech processing while also offering insights into potential solutions to address these issues.

Speech summarization has become an essential tool for efficiently managing and accessing the growing volume of spoken and audiovisual content. However, despite its increasing importance, speech summarization remains loosely defined. The field intersects with several research areas, including speech recognition, text summarization, and specific applications like meeting summarization. This survey not only examines existing datasets and evaluation protocols, which are crucial for assessing the quality of summarization approaches, but also synthesizes recent developments in the field, highlighting the shift from traditional systems to advanced models like fine-tuned cascaded architectures and end-to-end solutions. In doing so, we surface the ongoing challenges, such as the need for realistic evaluation benchmarks, multilingual datasets, and long-context handling.

Generative models have shown remarkable performance in speech enhancement (SE), achieving superior perceptual quality over traditional discriminative approaches. However, existing generative SE approaches often overlook the risk of hallucination under severe noise, leading to incorrect spoken content or inconsistent speaker characteristics, which we term linguistic and acoustic hallucinations, respectively. We argue that linguistic hallucination stems from models' failure to constrain valid phonological structures and it is a more fundamental challenge. While language models (LMs) are well-suited for capturing the underlying speech structure through modeling the distribution of discrete tokens, existing approaches are limited in learning from noise-corrupted representations, which can lead to contaminated priors and hallucinations. To overcome these limitations, we propose the Phonologically Anchored Speech Enhancer (PASE), a generative SE framework that leverages the robust phonological prior embedded in the pre-trained WavLM model to mitigate hallucinations. First, we adapt WavLM into a denoising expert via representation distillation to clean its final-layer features. Guided by the model's intrinsic phonological prior, this process enables robust denoising while minimizing linguistic hallucinations. To further reduce acoustic hallucinations, we train the vocoder with a dual-stream representation: the high-level phonetic representation provides clean linguistic content, while a low-level acoustic representation retains speaker identity and prosody. Experimental results demonstrate that PASE not only surpasses state-of-the-art discriminative models in perceptual quality, but also significantly outperforms prior generative models with substantially lower linguistic and acoustic hallucinations.

We present INDICVOICES, a dataset of natural and spontaneous speech containing a total of 7348 hours of read (9%), extempore (74%) and conversational (17%) audio from 16237 speakers covering 145 Indian districts and 22 languages. Of these 7348 hours, 1639 hours have already been transcribed, with a median of 73 hours per language. Through this paper, we share our journey of capturing the cultural, linguistic and demographic diversity of India to create a one-of-its-kind inclusive and representative dataset. More specifically, we share an open-source blueprint for data collection at scale comprising of standardised protocols, centralised tools, a repository of engaging questions, prompts and conversation scenarios spanning multiple domains and topics of interest, quality control mechanisms, comprehensive transcription guidelines and transcription tools. We hope that this open source blueprint will serve as a comprehensive starter kit for data collection efforts in other multilingual regions of the world. Using INDICVOICES, we build IndicASR, the first ASR model to support all the 22 languages listed in the 8th schedule of the Constitution of India. All the data, tools, guidelines, models and other materials developed as a part of this work will be made publicly available

Rare diseases, including Inborn Errors of Metabolism (IEM), pose significant diagnostic challenges. Case reports serve as key but computationally underutilized resources to inform diagnosis. Clinical dense information extraction refers to organizing medical information into structured predefined categories. Large Language Models (LLMs) may enable scalable information extraction from case reports but are rarely evaluated for this task. We introduce CaseReportBench, an expert-annotated dataset for dense information extraction of case reports, focusing on IEMs. Using this dataset, we assess various models and prompting strategies, introducing novel approaches such as category-specific prompting and subheading-filtered data integration. Zero-shot chain-of-thought prompting offers little advantage over standard zero-shot prompting. Category-specific prompting improves alignment with the benchmark. The open-source model Qwen2.5-7B outperforms GPT-4o for this task. Our clinician evaluations show that LLMs can extract clinically relevant details from case reports, supporting rare disease diagnosis and management. We also highlight areas for improvement, such as LLMs' limitations in recognizing negative findings important for differential diagnosis. This work advances LLM-driven clinical natural language processing and paves the way for scalable medical AI applications.

Global rates of mental health concerns are rising and there is increasing realization that existing models of mental healthcare will not adequately expand to meet the demand. With the emergence of large language models (LLMs) has come great optimism regarding their promise to create novel, large-scale solutions to support mental health. Despite their nascence, LLMs have already been applied to mental health-related tasks. In this review, we summarize the extant literature on efforts to use LLMs to provide mental health education, assessment, and intervention and highlight key opportunities for positive impact in each area. We then highlight risks associated with LLMs application to mental health and encourage adoption of strategies to mitigate these risks. The urgent need for mental health support must be balanced with responsible development, testing, and deployment of mental health LLMs. Especially critical is ensuring that mental health LLMs are fine-tuned for mental health, enhance mental health equity, adhere to ethical standards, and that people, including those with lived experience with mental health concerns, are involved in all stages from development through deployment. Prioritizing these efforts will minimize potential harms to mental health and maximize the likelihood that LLMs will positively impact mental health globally.

Large language models (LLMs) have performed well in providing general and extensive health suggestions in single-turn conversations, exemplified by systems such as ChatGPT, ChatGLM, ChatDoctor, DoctorGLM, and etc. However, the limited information provided by users during single turn results in inadequate personalization and targeting of the generated suggestions, which requires users to independently select the useful part. It is mainly caused by the missing ability to engage in multi-turn questioning. In real-world medical consultations, doctors usually employ a series of iterative inquiries to comprehend the patient's condition thoroughly, enabling them to provide effective and personalized suggestions subsequently, which can be defined as chain of questioning (CoQ) for LLMs. To improve the CoQ of LLMs, we propose BianQue, a ChatGLM-based LLM finetuned with the self-constructed health conversation dataset BianQueCorpus that is consist of multiple turns of questioning and health suggestions polished by ChatGPT. Experimental results demonstrate that the proposed BianQue can simultaneously balance the capabilities of both questioning and health suggestions, which will help promote the research and application of LLMs in the field of proactive health.

A large and growing amount of speech content in real-life scenarios is being recorded on consumer-grade devices in uncontrolled environments, resulting in degraded speech quality. Transforming such low-quality device-degraded speech into high-quality speech is a goal of speech enhancement (SE). This paper introduces a new speech dataset, DDS, to facilitate the research on SE. DDS provides aligned parallel recordings of high-quality speech (recorded in professional studios) and a number of versions of low-quality speech, producing approximately 2,000 hours speech data. The DDS dataset covers 27 realistic recording conditions by combining diverse acoustic environments and microphone devices, and each version of a condition consists of multiple recordings from six microphone positions to simulate different noise and reverberation levels. We also test several SE baseline systems on the DDS dataset and show the impact of recording diversity on performance.

Standard text-to-speech (TTS) evaluation measures intelligibility (WER, CER) and overall naturalness (MOS, UTMOS) but does not quantify accent. A synthesiser may score well on all four yet sound non-native on features that are phonemic in the target language. For Indic languages, these features include retroflex articulation, aspiration, vowel length, and the Tamil retroflex approximant (letter zha). We present PSP, the Phoneme Substitution Profile, an interpretable, per-phonological-dimension accent benchmark for Indic TTS. PSP decomposes accent into six complementary dimensions: retroflex collapse rate (RR), aspiration fidelity (AF), vowel-length fidelity (LF), Tamil-zha fidelity (ZF), Frechet Audio Distance (FAD), and prosodic signature divergence (PSD). The first four are measured via forced alignment plus native-speaker-centroid acoustic probes over Wav2Vec2-XLS-R layer-9 embeddings; the latter two are corpus-level distributional distances. In this v1 we benchmark four commercial and open-source systems (ElevenLabs v3, Cartesia Sonic-3, Sarvam Bulbul, Indic Parler-TTS) on Hindi, Telugu, and Tamil pilot sets, with a fifth system (Praxy Voice) included on all three languages, plus an R5->R6 case study on Telugu. Three findings: (i) retroflex collapse grows monotonically with phonological difficulty Hindi < Telugu < Tamil (~1%, ~40%, ~68%); (ii) PSP ordering diverges from WER ordering -- commercial WER-leaders do not uniformly lead on retroflex or prosodic fidelity; (iii) no single system is Pareto-optimal across all six dimensions. We release native reference centroids (500 clips per language), 1000-clip embeddings for FAD, 500-clip prosodic feature matrices for PSD, 300-utterance golden sets per language, scoring code under MIT, and centroids under CC-BY. Formal MOS-correlation is deferred to v2; v1 reports five internal-consistency signals plus a native-audio sanity check.

Large Language Models (LLMs) have demonstrated remarkable proficiency in generating text that closely resemble human writing. However, they often generate factually incorrect statements, a problem typically referred to as 'hallucination'. Addressing hallucination is crucial for enhancing the reliability and effectiveness of LLMs. While much research has focused on hallucinations in English, our study extends this investigation to conversational data in three languages: Hindi, Farsi, and Mandarin. We offer a comprehensive analysis of a dataset to examine both factual and linguistic errors in these languages for GPT-3.5, GPT-4o, Llama-3.1, Gemma-2.0, DeepSeek-R1 and Qwen-3. We found that LLMs produce very few hallucinated responses in Mandarin but generate a significantly higher number of hallucinations in Hindi and Farsi.

In recent years, advancements in Natural Language Processing (NLP) techniques have revolutionized the field of accessibility and exclusivity of testing, particularly for visually impaired students (VIS). CBT has shown in years back its relevance in terms of administering exams electronically, making the test process easier, providing quicker and more accurate results, and offering greater flexibility and accessibility for candidates. Yet, its relevance was not felt by the visually impaired students as they cannot access printed documents. Hence, in this paper, we present an NLP-driven Computer-Based Test guide for visually impaired students. It employs a speech technology pre-trained methods to provide real-time assistance and support to visually impaired students. The system utilizes NLP technologies to convert the text-based questions and the associated options in a machine-readable format. Subsequently, the speech technology pre-trained model processes the converted text enabling the VIS to comprehend and analyze the content. Furthermore, we validated that this pre-trained model is not perverse by testing for accuracy using sample audio datasets labels (A, B, C, D, E, F, G) to compare with the voice recordings obtained from 20 VIS which is been predicted by the system to attain values for precision, recall, and F1-scores. These metrics are used to assess the performance of the pre-trained model and have indicated that it is proficient enough to give its better performance to the evaluated system. The methodology adopted for this system is Object Oriented Analysis and Design Methodology (OOADM) where Objects are discussed and built by modeling real-world instances.

Large language models (LLMs) are increasingly under scrutiny for perpetuating identity-based discrimination in high-stakes domains such as hiring, particularly against people with disabilities (PwD). However, existing research remains largely Western-centric, overlooking how intersecting forms of marginalization--such as gender and caste--shape experiences of PwD in the Global South. We conduct a comprehensive audit of six LLMs across 2,820 hiring scenarios spanning diverse disability, gender, nationality, and caste profiles. To capture subtle intersectional harms and biases, we introduce ABLEIST (Ableism, Inspiration, Superhumanization, and Tokenism), a set of five ableism-specific and three intersectional harm metrics grounded in disability studies literature. Our results reveal significant increases in ABLEIST harms towards disabled candidates--harms that many state-of-the-art models failed to detect. These harms were further amplified by sharp increases in intersectional harms (e.g., Tokenism) for gender and caste-marginalized disabled candidates, highlighting critical blind spots in current safety tools and the need for intersectional safety evaluations of frontier models in high-stakes domains like hiring.

While voice technologies increasingly serve aging populations, current systems exhibit significant performance gaps due to inadequate training data capturing elderly-specific vocal characteristics like presbyphonia and dialectal variations. The limited data available on super-aged individuals in existing elderly speech datasets, coupled with overly simple recording styles and annotation dimensions, exacerbates this issue. To address the critical scarcity of speech data from individuals aged 75 and above, we introduce SeniorTalk, a carefully annotated Chinese spoken dialogue dataset. This dataset contains 55.53 hours of speech from 101 natural conversations involving 202 participants, ensuring a strategic balance across gender, region, and age. Through detailed annotation across multiple dimensions, it can support a wide range of speech tasks. We perform extensive experiments on speaker verification, speaker diarization, speech recognition, and speech editing tasks, offering crucial insights for the development of speech technologies targeting this age group.