Daily Papers

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

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.

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.

The lack of labeled second language (L2) speech data is a major challenge in designing mispronunciation detection models. We introduce SpeechBlender - a fine-grained data augmentation pipeline for generating mispronunciation errors to overcome such data scarcity. The SpeechBlender utilizes varieties of masks to target different regions of phonetic units, and use the mixing factors to linearly interpolate raw speech signals while augmenting pronunciation. The masks facilitate smooth blending of the signals, generating more effective samples than the `Cut/Paste' method. Our proposed technique achieves state-of-the-art results, with Speechocean762, on ASR dependent mispronunciation detection models at phoneme level, with a 2.0% gain in Pearson Correlation Coefficient (PCC) compared to the previous state-of-the-art [1]. Additionally, we demonstrate a 5.0% improvement at the phoneme level compared to our baseline. We also observed a 4.6% increase in F1-score with Arabic AraVoiceL2 testset.

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.

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.

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.

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.

Major Depressive Disorder (MDD) is a pervasive mental health condition that affects 300 million people worldwide. This work presents a novel, BiLSTM-based tri-modal model-level fusion architecture for the binary classification of depression from clinical interview recordings. The proposed architecture incorporates Mel Frequency Cepstral Coefficients, Facial Action Units, and uses a two-shot learning based GPT-4 model to process text data. This is the first work to incorporate large language models into a multi-modal architecture for this task. It achieves impressive results on the DAIC-WOZ AVEC 2016 Challenge cross-validation split and Leave-One-Subject-Out cross-validation split, surpassing all baseline models and multiple state-of-the-art models. In Leave-One-Subject-Out testing, it achieves an accuracy of 91.01%, an F1-Score of 85.95%, a precision of 80%, and a recall of 92.86%.

In disentangling the heterogeneity observed in psychopathology, personality of the patients is considered crucial. While it has been demonstrated that personality traits are reflected in the language used by a patient, we hypothesize that this enables automatic inference of the personality type directly from speech utterances, potentially more accurately than through a traditional questionnaire-based approach explicitly designed for personality classification. To validate this hypothesis, we adopt natural language processing (NLP) and standard machine learning tools for classification. We test this on a dataset of recorded clinical diagnostic interviews (CDI) on a sample of 79 patients diagnosed with major depressive disorder (MDD) -- a condition for which differentiated treatment based on personality styles has been advocated -- and classified into anaclitic and introjective personality styles. We start by analyzing the interviews to see which linguistic features are associated with each style, in order to gain a better understanding of the styles. Then, we develop automatic classifiers based on (a) standardized questionnaire responses; (b) basic text features, i.e., TF-IDF scores of words and word sequences; (c) more advanced text features, using LIWC (linguistic inquiry and word count) and context-aware features using BERT (bidirectional encoder representations from transformers); (d) audio features. We find that automated classification with language-derived features (i.e., based on LIWC) significantly outperforms questionnaire-based classification models. Furthermore, the best performance is achieved by combining LIWC with the questionnaire features. This suggests that more work should be put into developing linguistically based automated techniques for characterizing personality, however questionnaires still to some extent complement such methods.

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.

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).

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.

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.

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.

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.

Determination of mispronunciations and ensuring feedback to users are maintained by computer-assisted language learning (CALL) systems. In this work, we introduce an ensemble model that defines the mispronunciation of Arabic phonemes and assists learning of Arabic, effectively. To the best of our knowledge, this is the very first attempt to determine the mispronunciations of Arabic phonemes employing ensemble learning techniques and conventional machine learning models, comprehensively. In order to observe the effect of feature extraction techniques, mel-frequency cepstrum coefficients (MFCC), and Mel spectrogram are blended with each learning algorithm. To show the success of proposed model, 29 letters in the Arabic phonemes, 8 of which are hafiz, are voiced by a total of 11 different person. The amount of data set has been enhanced employing the methods of adding noise, time shifting, time stretching, pitch shifting. Extensive experiment results demonstrate that the utilization of voting classifier as an ensemble algorithm with Mel spectrogram feature extraction technique exhibits remarkable classification result with 95.9% of accuracy.

The research community has long studied computer-assisted pronunciation training (CAPT) methods in non-native speech. Researchers focused on studying various model architectures, such as Bayesian networks and deep learning methods, as well as on the analysis of different representations of the speech signal. Despite significant progress in recent years, existing CAPT methods are not able to detect pronunciation errors with high accuracy (only 60\% precision at 40\%-80\% recall). One of the key problems is the low availability of mispronounced speech that is needed for the reliable training of pronunciation error detection models. If we had a generative model that could mimic non-native speech and produce any amount of training data, then the task of detecting pronunciation errors would be much easier. We present three innovative techniques based on phoneme-to-phoneme (P2P), text-to-speech (T2S), and speech-to-speech (S2S) conversion to generate correctly pronounced and mispronounced synthetic speech. We show that these techniques not only improve the accuracy of three machine learning models for detecting pronunciation errors but also help establish a new state-of-the-art in the field. Earlier studies have used simple speech generation techniques such as P2P conversion, but only as an additional mechanism to improve the accuracy of pronunciation error detection. We, on the other hand, consider speech generation to be the first-class method of detecting pronunciation errors. The effectiveness of these techniques is assessed in the tasks of detecting pronunciation and lexical stress errors. Non-native English speech corpora of German, Italian, and Polish speakers are used in the evaluations. The best proposed S2S technique improves the accuracy of detecting pronunciation errors in AUC metric by 41\% from 0.528 to 0.749 compared to the state-of-the-art approach.

We propose a weakly-supervised model for word-level mispronunciation detection in non-native (L2) English speech. To train this model, phonetically transcribed L2 speech is not required and we only need to mark mispronounced words. The lack of phonetic transcriptions for L2 speech means that the model has to learn only from a weak signal of word-level mispronunciations. Because of that and due to the limited amount of mispronounced L2 speech, the model is more likely to overfit. To limit this risk, we train it in a multi-task setup. In the first task, we estimate the probabilities of word-level mispronunciation. For the second task, we use a phoneme recognizer trained on phonetically transcribed L1 speech that is easily accessible and can be automatically annotated. Compared to state-of-the-art approaches, we improve the accuracy of detecting word-level pronunciation errors in AUC metric by 30% on the GUT Isle Corpus of L2 Polish speakers, and by 21.5% on the Isle Corpus of L2 German and Italian speakers.

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.

Diffusion-based speech generators are ubiquitous. These methods can generate very high quality synthetic speech and several recent incidents report their malicious use. To counter such misuse, synthetic speech detectors have been developed. Many of these detectors are trained on datasets which do not include diffusion-based synthesizers. In this paper, we demonstrate that existing detectors trained on one such dataset, ASVspoof2019, do not perform well in detecting synthetic speech from recent diffusion-based synthesizers. We propose the Diffusion-Based Synthetic Speech Dataset (DiffSSD), a dataset consisting of about 200 hours of labeled speech, including synthetic speech generated by 8 diffusion-based open-source and 2 commercial generators. We also examine the performance of existing synthetic speech detectors on DiffSSD in both closed-set and open-set scenarios. The results highlight the importance of this dataset in detecting synthetic speech generated from recent open-source and commercial speech generators.

Personal Digital Assistants (PDAs) - such as Siri, Alexa and Google Assistant, to name a few - play an increasingly important role to access information and complete tasks spanning multiple domains, and by diverse groups of users. A text-to-speech (TTS) module allows PDAs to interact in a natural, human-like manner, and play a vital role when the interaction involves people with visual impairments or other disabilities. To cater to the needs of a diverse set of users, inclusive TTS is important to recognize and pronounce correctly text in different languages and dialects. Despite great progress in speech synthesis, the pronunciation accuracy of named entities in a multi-lingual setting still has a large room for improvement. Existing approaches to correct named entity (NE) mispronunciations, like retraining Grapheme-to-Phoneme (G2P) models, or maintaining a TTS pronunciation dictionary, require expensive annotation of the ground truth pronunciation, which is also time consuming. In this work, we present a highly-precise, PDA-compatible pronunciation learning framework for the task of TTS mispronunciation detection and correction. In addition, we also propose a novel mispronunciation detection model called DTW-SiameseNet, which employs metric learning with a Siamese architecture for Dynamic Time Warping (DTW) with triplet loss. We demonstrate that a locale-agnostic, privacy-preserving solution to the problem of TTS mispronunciation detection is feasible. We evaluate our approach on a real-world dataset, and a corpus of NE pronunciations of an anonymized audio dataset of person names recorded by participants from 10 different locales. Human evaluation shows our proposed approach improves pronunciation accuracy on average by ~6% compared to strong phoneme-based and audio-based baselines.

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.

In recent years, self-supervised learning (SSL) models have produced promising results in a variety of speech-processing tasks, especially in contexts of data scarcity. In this paper, we study the use of SSL models for the task of mispronunciation detection for second language learners. We compare two downstream approaches: 1) training the model for phone recognition (PR) using native English data, and 2) training a model directly for the target task using non-native English data. We compare the performance of these two approaches for various SSL representations as well as a representation extracted from a traditional DNN-based speech recognition model. We evaluate the models on L2Arctic and EpaDB, two datasets of non-native speech annotated with pronunciation labels at the phone level. Overall, we find that using a downstream model trained for the target task gives the best performance and that most upstream models perform similarly for the task.

The detection and analysis of infant cry and snoring events are crucial tasks within the field of audio signal processing. While existing datasets for general sound event detection are plentiful, they often fall short in providing sufficient, strongly labeled data specific to infant cries and snoring. To provide a benchmark dataset and thus foster the research of infant cry and snoring detection, this paper introduces the Infant Cry and Snoring Detection (ICSD) dataset, a novel, publicly available dataset specially designed for ICSD tasks. The ICSD comprises three types of subsets: a real strongly labeled subset with event-based labels annotated manually, a weakly labeled subset with only clip-level event annotations, and a synthetic subset generated and labeled with strong annotations. This paper provides a detailed description of the ICSD creation process, including the challenges encountered and the solutions adopted. We offer a comprehensive characterization of the dataset, discussing its limitations and key factors for ICSD usage. Additionally, we conduct extensive experiments on the ICSD dataset to establish baseline systems and offer insights into the main factors when using this dataset for ICSD research. Our goal is to develop a dataset that will be widely adopted by the community as a new open benchmark for future ICSD research.

Non-verbal signals in speech are encoded by prosody and carry information that ranges from conversation action to attitude and emotion. Despite its importance, the principles that govern prosodic structure are not yet adequately understood. This paper offers an analytical schema and a technological proof-of-concept for the categorization of prosodic signals and their association with meaning. The schema interprets surface-representations of multi-layered prosodic events. As a first step towards implementation, we present a classification process that disentangles prosodic phenomena of three orders. It relies on fine-tuning a pre-trained speech recognition model, enabling the simultaneous multi-class/multi-label detection. It generalizes over a large variety of spontaneous data, performing on a par with, or superior to, human annotation. In addition to a standardized formalization of prosody, disentangling prosodic patterns can direct a theory of communication and speech organization. A welcome by-product is an interpretation of prosody that will enhance speech- and language-related technologies.

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.

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.

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.

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.

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.

Personal sensing, leveraging data passively and near-continuously collected with wearables from patients in their ecological environment, is a promising paradigm to monitor mood disorders (MDs), a major determinant of worldwide disease burden. However, collecting and annotating wearable data is very resource-intensive. Studies of this kind can thus typically afford to recruit only a couple dozens of patients. This constitutes one of the major obstacles to applying modern supervised machine learning techniques to MDs detection. In this paper, we overcome this data bottleneck and advance the detection of MDs acute episode vs stable state from wearables data on the back of recent advances in self-supervised learning (SSL). This leverages unlabelled data to learn representations during pre-training, subsequently exploited for a supervised task. First, we collected open-access datasets recording with an Empatica E4 spanning different, unrelated to MD monitoring, personal sensing tasks -- from emotion recognition in Super Mario players to stress detection in undergraduates -- and devised a pre-processing pipeline performing on-/off-body detection, sleep-wake detection, segmentation, and (optionally) feature extraction. With 161 E4-recorded subjects, we introduce E4SelfLearning, the largest to date open access collection, and its pre-processing pipeline. Second, we show that SSL confidently outperforms fully-supervised pipelines using either our novel E4-tailored Transformer architecture (E4mer) or classical baseline XGBoost: 81.23% against 75.35% (E4mer) and 72.02% (XGBoost) correctly classified recording segments from 64 (half acute, half stable) patients. Lastly, we illustrate that SSL performance is strongly associated with the specific surrogate task employed for pre-training as well as with unlabelled data availability.

Depression poses significant challenges to patients and healthcare organizations, necessitating efficient assessment methods. Existing paradigms typically focus on a patient-doctor way that overlooks multi-role interactions, such as family involvement in the evaluation and caregiving process. Moreover, current automatic depression detection (ADD) methods usually model depression detection as a classification or regression task, lacking interpretability for the decision-making process. To address these issues, we developed InterMind, a doctor-patient-family interactive depression assessment system empowered by large language models (LLMs). Our system enables patients and families to contribute descriptions, generates assistive diagnostic reports for doctors, and provides actionable insights, improving diagnostic precision and efficiency. To enhance LLMs' performance in psychological counseling and diagnostic interpretability, we integrate retrieval-augmented generation (RAG) and chain-of-thoughts (CoT) techniques for data augmentation, which mitigates the hallucination issue of LLMs in specific scenarios after instruction fine-tuning. Quantitative experiments and professional assessments by clinicians validate the effectiveness of our system.

In automated pronunciation assessment, recent emphasis progressively lies on evaluating multiple aspects to provide enriched feedback. However, acquiring multi-aspect-score labeled data for non-native language learners' speech poses challenges; moreover, it often leads to score-imbalanced distributions. In this paper, we propose two Acoustic Feature Mixup strategies, linearly and non-linearly interpolating with the in-batch averaged feature, to address data scarcity and score-label imbalances. Primarily using goodness-of-pronunciation as an acoustic feature, we tailor mixup designs to suit pronunciation assessment. Further, we integrate fine-grained error-rate features by comparing speech recognition results with the original answer phonemes, giving direct hints for mispronunciation. Effective mixing of the acoustic features notably enhances overall scoring performances on the speechocean762 dataset, and detailed analysis highlights our potential to predict unseen distortions.

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.

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.

With an evergrowing number of LLMs reporting superlative performance for English, their ability to perform equitably for different dialects of English (i.e., dialect robustness) needs to be ascertained. Specifically, we use English language (US English or Indian English) conversations between humans who play the word-guessing game of `taboo'. We formulate two evaluative tasks: target word prediction (TWP) (i.e.predict the masked target word in a conversation) and target word selection (TWS) (i.e., select the most likely masked target word in a conversation, from among a set of candidate words). Extending MD3, an existing dialectic dataset of taboo-playing conversations, we introduce M-MD3, a target-word-masked version of MD3 with the USEng and IndEng subsets. We add two subsets: AITrans (where dialectic information is removed from IndEng) and AIGen (where LLMs are prompted to generate conversations). Our evaluation uses pre-trained and fine-tuned versions of two closed-source (GPT-4/3.5) and two open-source LLMs (Mistral and Gemma). LLMs perform significantly better for US English than Indian English for both TWP and TWS, for all settings. While GPT-based models perform the best, the comparatively smaller models work more equitably for short conversations (<8 turns). Our results on AIGen and AITrans (the best and worst-performing subset) respectively show that LLMs may learn a dialect of their own based on the composition of the training data, and that dialect robustness is indeed a challenging task. Our evaluation methodology exhibits a novel way to examine attributes of language models using pre-existing dialogue datasets.

Current voice assistants typically use the best hypothesis yielded by their Automatic Speech Recognition (ASR) module as input to their Natural Language Understanding (NLU) module, thereby losing helpful information that might be stored in lower-ranked ASR hypotheses. We explore the change in performance of NLU associated tasks when utilizing five-best ASR hypotheses when compared to status quo for two language datasets, German and Portuguese. To harvest information from the ASR five-best, we leverage extractive summarization and joint extractive-abstractive summarization models for Domain Classification (DC) experiments while using a sequence-to-sequence model with a pointer generator network for Intent Classification (IC) and Named Entity Recognition (NER) multi-task experiments. For the DC full test set, we observe significant improvements of up to 7.2% and 15.5% in micro-averaged F1 scores, for German and Portuguese, respectively. In cases where the best ASR hypothesis was not an exact match to the transcribed utterance (mismatched test set), we see improvements of up to 6.7% and 8.8% micro-averaged F1 scores, for German and Portuguese, respectively. For IC and NER multi-task experiments, when evaluating on the mismatched test set, we see improvements across all domains in German and in 17 out of 19 domains in Portuguese (improvements based on change in SeMER scores). Our results suggest that the use of multiple ASR hypotheses, as opposed to one, can lead to significant performance improvements in the DC task for these non-English datasets. In addition, it could lead to significant improvement in the performance of IC and NER tasks in cases where the ASR model makes mistakes.

Large language models (LLMs) such as ChatGPT have exhibited remarkable performance in generating human-like texts. However, machine-generated texts (MGTs) may carry critical risks, such as plagiarism issues, misleading information, or hallucination issues. Therefore, it is very urgent and important to detect MGTs in many situations. Unfortunately, it is challenging to distinguish MGTs and human-written texts because the distributional discrepancy between them is often very subtle due to the remarkable performance of LLMs. In this paper, we seek to exploit maximum mean discrepancy (MMD) to address this issue in the sense that MMD can well identify distributional discrepancies. However, directly training a detector with MMD using diverse MGTs will incur a significantly increased variance of MMD since MGTs may contain multiple text populations due to various LLMs. This will severely impair MMD's ability to measure the difference between two samples. To tackle this, we propose a novel multi-population aware optimization method for MMD called MMD-MP, which can avoid variance increases and thus improve the stability to measure the distributional discrepancy. Relying on MMD-MP, we develop two methods for paragraph-based and sentence-based detection, respectively. Extensive experiments on various LLMs, \eg, GPT2 and ChatGPT, show superior detection performance of our MMD-MP. The source code is available at https://github.com/ZSHsh98/MMD-MP.

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.

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.

In Islam, readers must apply a set of pronunciation rules called Tajweed rules to recite the Quran in the same way that the angel Jibrael taught the Prophet, Muhammad. The traditional process of learning the correct application of these rules requires a human who must have a license and great experience to detect mispronunciation. Due to the increasing number of Muslims around the world, the number of Tajweed teachers is not enough nowadays for daily recitation practice for every Muslim. Therefore, lots of work has been done for automatic Tajweed rules' mispronunciation detection to help readers recite Quran correctly in an easier way and shorter time than traditional learning ways. All previous works have three common problems. First, most of them focused on machine learning algorithms only. Second, they used private datasets with no benchmark to compare with. Third, they did not take into consideration the sequence of input data optimally, although the speech signal is time series. To overcome these problems, we proposed a solution that consists of Mel-Frequency Cepstral Coefficient (MFCC) features with Long Short-Term Memory (LSTM) neural networks which use the time series, to detect mispronunciation in Tajweed rules. In addition, our experiments were performed on a public dataset, the QDAT dataset, which contains more than 1500 voices of the correct and incorrect recitation of three Tajweed rules (Separate stretching , Tight Noon , and Hide ). To the best of our knowledge, the QDAT dataset has not been used by any research paper yet. We compared the performance of the proposed LSTM model with traditional machine learning algorithms used in SoTA. The LSTM model with time series showed clear superiority over traditional machine learning. The accuracy achieved by LSTM on the QDAT dataset was 96%, 95%, and 96% for the three rules (Separate stretching, Tight Noon, and Hide), respectively.

Medical dialogue systems (MDS) aim to provide patients with medical services, such as diagnosis and prescription. Since most patients cannot precisely describe their symptoms, dialogue understanding is challenging for MDS. Previous studies mainly addressed this by extracting the mentioned medical entities as critical dialogue history information. In this work, we argue that it is also essential to capture the transitions of the medical entities and the doctor's dialogue acts in each turn, as they help the understanding of how the dialogue flows and enhance the prediction of the entities and dialogue acts to be adopted in the following turn. Correspondingly, we propose a Dual Flow enhanced Medical (DFMed) dialogue generation framework. It extracts the medical entities and dialogue acts used in the dialogue history and models their transitions with an entity-centric graph flow and a sequential act flow, respectively. We employ two sequential models to encode them and devise an interweaving component to enhance their interactions. Experiments on two datasets demonstrate that our method exceeds baselines in both automatic and manual evaluations.

Dementia is a progressive cognitive syndrome with Alzheimer's disease (AD) as the leading cause. Conversation-based AD detection offers a cost-effective alternative to clinical methods, as language dysfunction is an early biomarker of AD. However, most prior research has framed AD detection as a binary classification problem, limiting the ability to identify Mild Cognitive Impairment (MCI)-a crucial stage for early intervention. Also, studies primarily rely on single-language datasets, mainly in English, restricting cross-language generalizability. To address this gap, we make three key contributions. First, we introduce a novel, multilingual dataset for AD detection by unifying 16 publicly available dementia-related conversational datasets. This corpus spans English, Spanish, Chinese, and Greek and incorporates both audio and text data derived from a variety of cognitive assessment tasks. Second, we perform finer-grained classification, including MCI, and evaluate various classifiers using sparse and dense text representations. Third, we conduct experiments in monolingual and multilingual settings, finding that some languages benefit from multilingual training while others perform better independently. This study highlights the challenges in multilingual AD detection and enables future research on both language-specific approaches and techniques aimed at improving model generalization and robustness.

Pronunciation dictionaries are an important component in the process of speech forced alignment. The accuracy of these dictionaries has a strong effect on the aligned speech data since they help the mapping between orthographic transcriptions and acoustic signals. In this paper, I present the creation of a comprehensive pronunciation dictionary in Spanish (ESPADA) that can be used in most of the dialect variants of Spanish data. Current dictionaries focus on specific regional variants, but with the flexible nature of our tool, it can be readily applied to capture the most common phonetic differences across major dialectal variants. We propose improvements to current pronunciation dictionaries as well as mapping other relevant annotations such as morphological and lexical information. In terms of size, it is currently the most complete dictionary with more than 628,000 entries, representing words from 16 countries. All entries come with their corresponding pronunciations, morphological and lexical tagging, and other relevant information for phonetic analysis: stress patterns, phonotactics, IPA transcriptions, and more. This aims to equip socio-phonetic researchers with a complete open-source tool that enhances dialectal research within socio-phonetic frameworks in the Spanish language.

In the fields of security systems, forensic investigations, and personalized services, the importance of speech as a fundamental human input outweighs text-based interactions. This research delves deeply into the complex field of Speaker Identification (SID), examining its essential components and emphasising Mel Spectrogram and Mel Frequency Cepstral Coefficients (MFCC) for feature extraction. Moreover, this study evaluates six slightly distinct model architectures using extensive analysis to evaluate their performance, with hyperparameter tuning applied to the best-performing model. This work performs a linguistic analysis to verify accent and gender accuracy, in addition to bias evaluation within the AB-1 Corpus dataset.

ASR Error Detection (AED) models aim to post-process the output of Automatic Speech Recognition (ASR) systems, in order to detect transcription errors. Modern approaches usually use text-based input, comprised solely of the ASR transcription hypothesis, disregarding additional signals from the ASR model. Instead, we propose to utilize the ASR system's word-level confidence scores for improving AED performance. Specifically, we add an ASR Confidence Embedding (ACE) layer to the AED model's encoder, allowing us to jointly encode the confidence scores and the transcribed text into a contextualized representation. Our experiments show the benefits of ASR confidence scores for AED, their complementary effect over the textual signal, as well as the effectiveness and robustness of ACE for combining these signals. To foster further research, we publish a novel AED dataset consisting of ASR outputs on the LibriSpeech corpus with annotated transcription errors.

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.

This work introduces the first framework for reconstructing surgical dialogue from unstructured real-world recordings, which is crucial for characterizing teaching tasks. In surgical training, the formative verbal feedback that trainers provide to trainees during live surgeries is crucial for ensuring safety, correcting behavior immediately, and facilitating long-term skill acquisition. However, analyzing and quantifying this feedback is challenging due to its unstructured and specialized nature. Automated systems are essential to manage these complexities at scale, allowing for the creation of structured datasets that enhance feedback analysis and improve surgical education. Our framework integrates voice activity detection, speaker diarization, and automated speech recaognition, with a novel enhancement that 1) removes hallucinations (non-existent utterances generated during speech recognition fueled by noise in the operating room) and 2) separates speech from trainers and trainees using few-shot voice samples. These aspects are vital for reconstructing accurate surgical dialogues and understanding the roles of operating room participants. Using data from 33 real-world surgeries, we demonstrated the system's capability to reconstruct surgical teaching dialogues and detect feedback instances effectively (F1 score of 0.79+/-0.07). Moreover, our hallucination removal step improves feedback detection performance by ~14%. Evaluation on downstream clinically relevant tasks of predicting Behavioral Adjustment of trainees and classifying Technical feedback, showed performances comparable to manual annotations with F1 scores of 0.82+/0.03 and 0.81+/0.03 respectively. These results highlight the effectiveness of our framework in supporting clinically relevant tasks and improving over manual methods.

Voice activity detection (VAD) is an important pre-processing step for speech technology applications. The task consists of deriving segment boundaries of audio signals which contain voicing information. In recent years, it has been shown that voice source and vocal tract system information can be extracted using zero-frequency filtering (ZFF) without making any explicit model assumptions about the speech signal. This paper investigates the potential of zero-frequency filtering for jointly modeling voice source and vocal tract system information, and proposes two approaches for VAD. The first approach demarcates voiced regions using a composite signal composed of different zero-frequency filtered signals. The second approach feeds the composite signal as input to the rVAD algorithm. These approaches are compared with other supervised and unsupervised VAD methods in the literature, and are evaluated on the Aurora-2 database, across a range of SNRs (20 to -5 dB). Our studies show that the proposed ZFF-based methods perform comparable to state-of-art VAD methods and are more invariant to added degradation and different channel characteristics.

We aim to evaluate the efficacy of traditional machine learning and large language models (LLMs) in classifying anxiety and depression from long conversational transcripts. We fine-tune both established transformer models (BERT, RoBERTa, Longformer) and more recent large models (Mistral-7B), trained a Support Vector Machine with feature engineering, and assessed GPT models through prompting. We observe that state-of-the-art models fail to enhance classification outcomes compared to traditional machine learning methods.

Automatic depression detection from conversational data has gained significant interest in recent years. The DAIC-WOZ dataset, interviews conducted by a human-controlled virtual agent, has been widely used for this task. Recent studies have reported enhanced performance when incorporating interviewer's prompts into the model. In this work, we hypothesize that this improvement might be mainly due to a bias present in these prompts, rather than the proposed architectures and methods. Through ablation experiments and qualitative analysis, we discover that models using interviewer's prompts learn to focus on a specific region of the interviews, where questions about past experiences with mental health issues are asked, and use them as discriminative shortcuts to detect depressed participants. In contrast, models using participant responses gather evidence from across the entire interview. Finally, to highlight the magnitude of this bias, we achieve a 0.90 F1 score by intentionally exploiting it, the highest result reported to date on this dataset using only textual information. Our findings underline the need for caution when incorporating interviewers' prompts into models, as they may inadvertently learn to exploit targeted prompts, rather than learning to characterize the language and behavior that are genuinely indicative of the patient's mental health condition.

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.

Speech Emotion Recognition (SER) typically relies on utterance-level solutions. However, emotions conveyed through speech should be considered as discrete speech events with definite temporal boundaries, rather than attributes of the entire utterance. To reflect the fine-grained nature of speech emotions, we propose a new task: Speech Emotion Diarization (SED). Just as Speaker Diarization answers the question of "Who speaks when?", Speech Emotion Diarization answers the question of "Which emotion appears when?". To facilitate the evaluation of the performance and establish a common benchmark for researchers, we introduce the Zaion Emotion Dataset (ZED), an openly accessible speech emotion dataset that includes non-acted emotions recorded in real-life conditions, along with manually-annotated boundaries of emotion segments within the utterance. We provide competitive baselines and open-source the code and the pre-trained models.

Pretrained language models have been used in various natural language processing applications. In the mental health domain, domain-specific language models are pretrained and released, which facilitates the early detection of mental health conditions. Social posts, e.g., on Reddit, are usually long documents. However, there are no domain-specific pretrained models for long-sequence modeling in the mental health domain. This paper conducts domain-specific continued pretraining to capture the long context for mental health. Specifically, we train and release MentalXLNet and MentalLongformer based on XLNet and Longformer. We evaluate the mental health classification performance and the long-range ability of these two domain-specific pretrained models. Our models are released in HuggingFace.

In the rapidly evolving digital era, there is an increasing demand for concise information as individuals seek to distil key insights from various sources. Recent attention from researchers on Multi-document Summarisation (MDS) has resulted in diverse datasets covering customer reviews, academic papers, medical and legal documents, and news articles. However, the English-centric nature of these datasets has created a conspicuous void for multilingual datasets in today's globalised digital landscape, where linguistic diversity is celebrated. Media platforms such as British Broadcasting Corporation (BBC) have disseminated news in 20+ languages for decades. With only 380 million people speaking English natively as their first language, accounting for less than 5% of the global population, the vast majority primarily relies on other languages. These facts underscore the need for inclusivity in MDS research, utilising resources from diverse languages. Recognising this gap, we present the Multilingual Dataset for Multi-document Summarisation (M2DS), which, to the best of our knowledge, is the first dataset of its kind. It includes document-summary pairs in five languages from BBC articles published during the 2010-2023 period. This paper introduces M2DS, emphasising its unique multilingual aspect, and includes baseline scores from state-of-the-art MDS models evaluated on our dataset.

As mental health care systems worldwide struggle to meet demand, there is increasing focus on using language models to infer neuropsychiatric conditions or psychopathological traits from language production. Yet, so far, this research has only delivered solutions with limited clinical applicability, due to insufficient consideration of ethical questions crucial to ensuring the synergy between possible applications and model design. To accelerate progress towards clinically applicable models, our paper charts the ethical landscape of research on language-based inference of psychopathology and provides a practical tool for researchers to navigate it. We identify seven core ethical principles that should guide model development and deployment in this domain, translate them into ELLIPS, an ethical toolkit operationalizing these principles into questions that can guide researchers' choices with respect to data selection, architectures, evaluation, and model deployment, and provide a case study exemplifying its use. With this, we aim to facilitate the emergence of model technology with concrete potential for real-world applicability.

The detection of depression through non-verbal cues has gained significant attention. Previous research predominantly centred on identifying depression within the confines of controlled laboratory environments, often with the supervision of psychologists or counsellors. Unfortunately, datasets generated in such controlled settings may struggle to account for individual behaviours in real-life situations. In response to this limitation, we present the Extended D-vlog dataset, encompassing a collection of 1, 261 YouTube vlogs. Additionally, the emergence of large language models (LLMs) like GPT3.5, and GPT4 has sparked interest in their potential they can act like mental health professionals. Yet, the readiness of these LLM models to be used in real-life settings is still a concern as they can give wrong responses that can harm the users. We introduce a virtual agent serving as an initial contact for mental health patients, offering Cognitive Behavioral Therapy (CBT)-based responses. It comprises two core functions: 1. Identifying depression in individuals, and 2. Delivering CBT-based therapeutic responses. Our Mistral model achieved impressive scores of 70.1% and 30.9% for distortion assessment and classification, along with a Bert score of 88.7%. Moreover, utilizing the TVLT model on our Multimodal Extended D-vlog Dataset yielded outstanding results, with an impressive F1-score of 67.8%

Passively collected behavioral health data from ubiquitous sensors holds significant promise to provide mental health professionals insights from patient's daily lives; however, developing analysis tools to use this data in clinical practice requires addressing challenges of generalization across devices and weak or ambiguous correlations between the measured signals and an individual's mental health. To address these challenges, we take a novel approach that leverages large language models (LLMs) to synthesize clinically useful insights from multi-sensor data. We develop chain of thought prompting methods that use LLMs to generate reasoning about how trends in data such as step count and sleep relate to conditions like depression and anxiety. We first demonstrate binary depression classification with LLMs achieving accuracies of 61.1% which exceed the state of the art. While it is not robust for clinical use, this leads us to our key finding: even more impactful and valued than classification is a new human-AI collaboration approach in which clinician experts interactively query these tools and combine their domain expertise and context about the patient with AI generated reasoning to support clinical decision-making. We find models like GPT-4 correctly reference numerical data 75% of the time, and clinician participants express strong interest in using this approach to interpret self-tracking data.

In recent years, speech generation technology has advanced rapidly, fueled by generative models and large-scale training techniques. While these developments have enabled the production of high-quality synthetic speech, they have also raised concerns about the misuse of this technology, particularly for generating synthetic misinformation. Current research primarily focuses on distinguishing machine-generated speech from human-produced speech, but the more urgent challenge is detecting misinformation within spoken content. This task requires a thorough analysis of factors such as speaker identity, topic, and synthesis. To address this need, we conduct an initial investigation into synthetic spoken misinformation detection by introducing an open-source dataset, SpMis. SpMis includes speech synthesized from over 1,000 speakers across five common topics, utilizing state-of-the-art text-to-speech systems. Although our results show promising detection capabilities, they also reveal substantial challenges for practical implementation, underscoring the importance of ongoing research in this critical area.

Hope Speech Detection, a task of recognizing positive expressions, has made significant strides recently. However, much of the current works focus on model development without considering the issue of inherent imbalance in the data. Our work revisits this issue in hope-speech detection by introducing focal loss, data augmentation, and pre-processing strategies. Accordingly, we find that introducing focal loss as part of Multilingual-BERT's (M-BERT) training process mitigates the effect of class imbalance and improves overall F1-Macro by 0.11. At the same time, contextual and back-translation-based word augmentation with M-BERT improves results by 0.10 over baseline despite imbalance. Finally, we show that overlapping word removal based on pre-processing, though simple, improves F1-Macro by 0.28. In due process, we present detailed studies depicting various behaviors of each of these strategies and summarize key findings from our empirical results for those interested in getting the most out of M-BERT for hope speech detection under real-world conditions of data imbalance.

Depression has proven to be a significant public health issue, profoundly affecting the psychological well-being of individuals. If it remains undiagnosed, depression can lead to severe health issues, which can manifest physically and even lead to suicide. Generally, Diagnosing depression or any other mental disorder involves conducting semi-structured interviews alongside supplementary questionnaires, including variants of the Patient Health Questionnaire (PHQ) by Clinicians and mental health professionals. This approach places significant reliance on the experience and judgment of trained physicians, making the diagnosis susceptible to personal biases. Given that the underlying mechanisms causing depression are still being actively researched, physicians often face challenges in diagnosing and treating the condition, particularly in its early stages of clinical presentation. Recently, significant strides have been made in Artificial neural computing to solve problems involving text, image, and speech in various domains. Our analysis has aimed to leverage these state-of-the-art (SOTA) models in our experiments to achieve optimal outcomes leveraging multiple modalities. The experiments were performed on the Extended Distress Analysis Interview Corpus Wizard of Oz dataset (E-DAIC) corpus presented in the Audio/Visual Emotion Challenge (AVEC) 2019 Challenge. The proposed solutions demonstrate better results achieved by Proprietary and Open-source Large Language Models (LLMs), which achieved a Root Mean Square Error (RMSE) score of 3.98 on Textual Modality, beating the AVEC 2019 challenge baseline results and current SOTA regression analysis architectures. Additionally, the proposed solution achieved an accuracy of 71.43% in the classification task. The paper also includes a novel audio-visual multi-modal network that predicts PHQ-8 scores with an RMSE of 6.51.

Mental health is a critical issue in modern society, and mental disorders could sometimes turn to suicidal ideation without effective treatment. Early detection of mental disorders and suicidal ideation from social content provides a potential way for effective social intervention. However, classifying suicidal ideation and other mental disorders is challenging as they share similar patterns in language usage and sentimental polarity. This paper enhances text representation with lexicon-based sentiment scores and latent topics and proposes using relation networks to detect suicidal ideation and mental disorders with related risk indicators. The relation module is further equipped with the attention mechanism to prioritize more critical relational features. Through experiments on three real-world datasets, our model outperforms most of its counterparts.

While large language models have demonstrated exceptional performance across a wide range of tasks, they remain susceptible to hallucinations -- generating plausible yet factually incorrect contents. Existing methods to mitigating such risk often rely on sampling multiple full-length generations, which introduces significant response latency and becomes ineffective when the model consistently produces hallucinated outputs with high confidence. To address these limitations, we introduce Monitoring Decoding (MD), a novel framework that dynamically monitors the generation process and selectively applies in-process interventions, focusing on revising crucial tokens responsible for hallucinations. Instead of waiting until completion of multiple full-length generations, we identify hallucination-prone tokens during generation using a monitor function, and further refine these tokens through a tree-based decoding strategy. This approach ensures an enhanced factual accuracy and coherence in the generated output while maintaining efficiency. Experimental results demonstrate that MD consistently outperforms self-consistency-based approaches in both effectiveness and efficiency, achieving higher factual accuracy while significantly reducing computational overhead.

We address a challenging and practical task of labeling questions in speech in real time during telephone calls to emergency medical services in English, which embeds within a broader decision support system for emergency call-takers. We propose a novel multimodal approach to real-time sequence labeling in speech. Our model treats speech and its own textual representation as two separate modalities or views, as it jointly learns from streamed audio and its noisy transcription into text via automatic speech recognition. Our results show significant gains of jointly learning from the two modalities when compared to text or audio only, under adverse noise and limited volume of training data. The results generalize to medical symptoms detection where we observe a similar pattern of improvements with multimodal learning.

Self-supervised pre-trained speech models have strongly improved speech recognition, yet they are still sensitive to domain shifts and accented or atypical speech. Many of these models rely on quantisation or clustering to learn discrete acoustic units. We propose to correct the discovered discrete units for accented speech back to a standard pronunciation in an unsupervised manner. A masked language model is trained on discrete units from a standard accent and iteratively corrects an accented token sequence by masking unexpected cluster sequences and predicting their common variant. Small accent adapter blocks are inserted in the pre-trained model and fine-tuned by predicting the corrected clusters, which leads to an increased robustness of the pre-trained model towards a target accent, and this without supervision. We are able to improve a state-of-the-art HuBERT Large model on a downstream accented speech recognition task by altering the training regime with the proposed method.

Despite recent advancements in speech recognition, there are still difficulties in accurately transcribing conversational and emotional speech in noisy and reverberant acoustic environments. This poses a particular challenge in the search and rescue (SAR) domain, where transcribing conversations among rescue team members is crucial to support real-time decision-making. The scarcity of speech data and associated background noise in SAR scenarios make it difficult to deploy robust speech recognition systems. To address this issue, we have created and made publicly available a German speech dataset called RescueSpeech. This dataset includes real speech recordings from simulated rescue exercises. Additionally, we have released competitive training recipes and pre-trained models. Our study indicates that the current level of performance achieved by state-of-the-art methods is still far from being acceptable.

Clinical diagnosis is critical in medical practice, typically requiring a continuous and evolving process that includes primary diagnosis, differential diagnosis, and final diagnosis. However, most existing clinical diagnostic tasks are single-step processes, which does not align with the complex multi-step diagnostic procedures found in real-world clinical settings. In this paper, we propose a multi-step diagnostic task and annotate a clinical diagnostic dataset (MSDiagnosis). This dataset includes primary diagnosis, differential diagnosis, and final diagnosis questions. Additionally, we propose a novel and effective framework. This framework combines forward inference, backward inference, reflection, and refinement, enabling the LLM to self-evaluate and adjust its diagnostic results. To assess the effectiveness of our proposed method, we design and conduct extensive experiments. The experimental results demonstrate the effectiveness of the proposed method. We also provide a comprehensive experimental analysis and suggest future research directions for this task.

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.

Police departments around the world use two-way radio for coordination. These broadcast police communications (BPC) are a unique source of information about everyday police activity and emergency response. Yet BPC are not transcribed, and their naturalistic audio properties make automatic transcription challenging. We collect a corpus of roughly 62,000 manually transcribed radio transmissions (~46 hours of audio) to evaluate the feasibility of automatic speech recognition (ASR) using modern recognition models. We evaluate the performance of off-the-shelf speech recognizers, models fine-tuned on BPC data, and customized end-to-end models. We find that both human and machine transcription is challenging in this domain. Large off-the-shelf ASR models perform poorly, but fine-tuned models can reach the approximate range of human performance. Our work suggests directions for future work, including analysis of short utterances and potential miscommunication in police radio interactions. We make our corpus and data annotation pipeline available to other researchers, to enable further research on recognition and analysis of police communication.

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.

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.

This research paper focuses on the challenges posed by hallucinations in large language models (LLMs), particularly in the context of the medical domain. Hallucination, wherein these models generate plausible yet unverified or incorrect information, can have serious consequences in healthcare applications. We propose a new benchmark and dataset, Med-HALT (Medical Domain Hallucination Test), designed specifically to evaluate and reduce hallucinations. Med-HALT provides a diverse multinational dataset derived from medical examinations across various countries and includes multiple innovative testing modalities. Med-HALT includes two categories of tests reasoning and memory-based hallucination tests, designed to assess LLMs's problem-solving and information retrieval abilities. Our study evaluated leading LLMs, including Text Davinci, GPT-3.5, LlaMa-2, MPT, and Falcon, revealing significant differences in their performance. The paper provides detailed insights into the dataset, promoting transparency and reproducibility. Through this work, we aim to contribute to the development of safer and more reliable language models in healthcare. Our benchmark can be found at medhalt.github.io

Filler words such as `uh' or `um' are sounds or words people use to signal they are pausing to think. Finding and removing filler words from recordings is a common and tedious task in media editing. Automatically detecting and classifying filler words could greatly aid in this task, but few studies have been published on this problem to date. A key reason is the absence of a dataset with annotated filler words for model training and evaluation. In this work, we present a novel speech dataset, PodcastFillers, with 35K annotated filler words and 50K annotations of other sounds that commonly occur in podcasts such as breaths, laughter, and word repetitions. We propose a pipeline that leverages VAD and ASR to detect filler candidates and a classifier to distinguish between filler word types. We evaluate our proposed pipeline on PodcastFillers, compare to several baselines, and present a detailed ablation study. In particular, we evaluate the importance of using ASR and how it compares to a transcription-free approach resembling keyword spotting. We show that our pipeline obtains state-of-the-art results, and that leveraging ASR strongly outperforms a keyword spotting approach. We make PodcastFillers publicly available, in the hope that our work serves as a benchmark for future research.

Background: Natural Language Processing (NLP) is widely used to extract clinical insights from Electronic Health Records (EHRs). However, the lack of annotated data, automated tools, and other challenges hinder the full utilisation of NLP for EHRs. Various Machine Learning (ML), Deep Learning (DL) and NLP techniques are studied and compared to understand the limitations and opportunities in this space comprehensively. Methodology: After screening 261 articles from 11 databases, we included 127 papers for full-text review covering seven categories of articles: 1) medical note classification, 2) clinical entity recognition, 3) text summarisation, 4) deep learning (DL) and transfer learning architecture, 5) information extraction, 6) Medical language translation and 7) other NLP applications. This study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Result and Discussion: EHR was the most commonly used data type among the selected articles, and the datasets were primarily unstructured. Various ML and DL methods were used, with prediction or classification being the most common application of ML or DL. The most common use cases were: the International Classification of Diseases, Ninth Revision (ICD-9) classification, clinical note analysis, and named entity recognition (NER) for clinical descriptions and research on psychiatric disorders. Conclusion: We find that the adopted ML models were not adequately assessed. In addition, the data imbalance problem is quite important, yet we must find techniques to address this underlining problem. Future studies should address key limitations in studies, primarily identifying Lupus Nephritis, Suicide Attempts, perinatal self-harmed and ICD-9 classification.

Automatically classifying electronic health records (EHRs) into diagnostic codes has been challenging to the NLP community. State-of-the-art methods treated this problem as a multilabel classification problem and proposed various architectures to model this problem. However, these systems did not leverage the superb performance of pretrained language models, which achieved superb performance on natural language understanding tasks. Prior work has shown that pretrained language models underperformed on this task with the regular finetuning scheme. Therefore, this paper aims at analyzing the causes of the underperformance and developing a framework for automatic ICD coding with pretrained language models. We spotted three main issues through the experiments: 1) large label space, 2) long input sequences, and 3) domain mismatch between pretraining and fine-tuning. We propose PLMICD, a framework that tackles the challenges with various strategies. The experimental results show that our proposed framework can overcome the challenges and achieves state-of-the-art performance in terms of multiple metrics on the benchmark MIMIC data. The source code is available at https://github.com/MiuLab/PLM-ICD

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.

Arabic dialect identification (ADI) tools are an important part of the large-scale data collection pipelines necessary for training speech recognition models. As these pipelines require application of ADI tools to potentially out-of-domain data, we aim to investigate how vulnerable the tools may be to this domain shift. With self-supervised learning (SSL) models as a starting point, we evaluate transfer learning and direct classification from SSL features. We undertake our evaluation under rich conditions, with a goal to develop ADI systems from pretrained models and ultimately evaluate performance on newly collected data. In order to understand what factors contribute to model decisions, we carry out a careful human study of a subset of our data. Our analysis confirms that domain shift is a major challenge for ADI models. We also find that while self-training does alleviate this challenges, it may be insufficient for realistic conditions.

This work aims to advance sound event detection (SED) research by presenting a new large language model (LLM)-powered dataset namely wild domestic environment sound event detection (WildDESED). It is crafted as an extension to the original DESED dataset to reflect diverse acoustic variability and complex noises in home settings. We leveraged LLMs to generate eight different domestic scenarios based on target sound categories of the DESED dataset. Then we enriched the scenarios with a carefully tailored mixture of noises selected from AudioSet and ensured no overlap with target sound. We consider widely popular convolutional neural recurrent network to study WildDESED dataset, which depicts its challenging nature. We then apply curriculum learning by gradually increasing noise complexity to enhance the model's generalization capabilities across various noise levels. Our results with this approach show improvements within the noisy environment, validating the effectiveness on the WildDESED dataset promoting noise-robust SED advancements.

Non-linguistic filler words, such as "uh" or "um", are prevalent in spontaneous speech and serve as indicators for expressing hesitation or uncertainty. Previous works for detecting certain non-linguistic filler words are highly dependent on transcriptions from a well-established commercial automatic speech recognition (ASR) system. However, certain ASR systems are not universally accessible from many aspects, e.g., budget, target languages, and computational power. In this work, we investigate filler word detection system that does not depend on ASR systems. We show that, by using the structured state space sequence model (S4) and neural semi-Markov conditional random fields (semi-CRFs), we achieve an absolute F1 improvement of 6.4% (segment level) and 3.1% (event level) on the PodcastFillers dataset. We also conduct a qualitative analysis on the detected results to analyze the limitations of our proposed system.

Large text corpora are increasingly important for a wide variety of Natural Language Processing (NLP) tasks, and automatic language identification (LangID) is a core technology needed to collect such datasets in a multilingual context. LangID is largely treated as solved in the literature, with models reported that achieve over 90% average F1 on as many as 1,366 languages. We train LangID models on up to 1,629 languages with comparable quality on held-out test sets, but find that human-judged LangID accuracy for web-crawl text corpora created using these models is only around 5% for many lower-resource languages, suggesting a need for more robust evaluation. Further analysis revealed a variety of error modes, arising from domain mismatch, class imbalance, language similarity, and insufficiently expressive models. We propose two classes of techniques to mitigate these errors: wordlist-based tunable-precision filters (for which we release curated lists in about 500 languages) and transformer-based semi-supervised LangID models, which increase median dataset precision from 5.5% to 71.2%. These techniques enable us to create an initial data set covering 100K or more relatively clean sentences in each of 500+ languages, paving the way towards a 1,000-language web text corpus.

In this research paper, we delve into the topics of Speech Diarization and Automatic Speech Recognition (ASR). Speech diarization involves the separation of individual speakers within an audio stream. By employing the ASR transcript, the diarization process aims to segregate each speaker's utterances, grouping them based on their unique audio characteristics. On the other hand, Automatic Speech Recognition refers to the capability of a machine or program to identify and convert spoken words and phrases into a machine-readable format. In our speech diarization approach, we utilize the Gaussian Mixer Model (GMM) to represent speech segments. The inter-cluster distance is computed based on the GMM parameters, and the distance threshold serves as the stopping criterion. ASR entails the conversion of an unknown speech waveform into a corresponding written transcription. The speech signal is analyzed using synchronized algorithms, taking into account the pitch frequency. Our primary objective typically revolves around developing a model that minimizes the Word Error Rate (WER) metric during speech transcription.

Codification of free-text clinical narratives have long been recognised to be beneficial for secondary uses such as funding, insurance claim processing and research. The current scenario of assigning codes is a manual process which is very expensive, time-consuming and error prone. In recent years, many researchers have studied the use of Natural Language Processing (NLP), related Machine Learning (ML) and Deep Learning (DL) methods and techniques to resolve the problem of manual coding of clinical narratives and to assist human coders to assign clinical codes more accurately and efficiently. This systematic literature review provides a comprehensive overview of automated clinical coding systems that utilises appropriate NLP, ML and DL methods and techniques to assign ICD codes to discharge summaries. We have followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) guidelines and conducted a comprehensive search of publications from January, 2010 to December 2020 in four academic databases- PubMed, ScienceDirect, Association for Computing Machinery(ACM) Digital Library, and the Association for Computational Linguistics(ACL) Anthology. We reviewed 7,556 publications; 38 met the inclusion criteria. This review identified: datasets having discharge summaries; NLP techniques along with some other data extraction processes, different feature extraction and embedding techniques. To measure the performance of classification methods, different evaluation metrics are used. Lastly, future research directions are provided to scholars who are interested in automated ICD code assignment. Efforts are still required to improve ICD code prediction accuracy, availability of large-scale de-identified clinical corpora with the latest version of the classification system. This can be a platform to guide and share knowledge with the less experienced coders and researchers.

Prosody contains rich information beyond the literal meaning of words, which is crucial for the intelligibility of speech. Current models still fall short in phrasing and intonation; they not only miss or misplace breaks when synthesizing long sentences with complex structures but also produce unnatural intonation. We propose ProsodyFM, a prosody-aware text-to-speech synthesis (TTS) model with a flow-matching (FM) backbone that aims to enhance the phrasing and intonation aspects of prosody. ProsodyFM introduces two key components: a Phrase Break Encoder to capture initial phrase break locations, followed by a Duration Predictor for the flexible adjustment of break durations; and a Terminal Intonation Encoder which integrates a set of intonation shape tokens combined with a novel Pitch Processor for more robust modeling of human-perceived intonation change. ProsodyFM is trained with no explicit prosodic labels and yet can uncover a broad spectrum of break durations and intonation patterns. Experimental results demonstrate that ProsodyFM can effectively improve the phrasing and intonation aspects of prosody, thereby enhancing the overall intelligibility compared to four state-of-the-art (SOTA) models. Out-of-distribution experiments show that this prosody improvement can further bring ProsodyFM superior generalizability for unseen complex sentences and speakers. Our case study intuitively illustrates the powerful and fine-grained controllability of ProsodyFM over phrasing and intonation.

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.

As the field of artificial intelligence progresses, assistive technologies are becoming more widely used across all industries. The healthcare industry is no different, with numerous studies being done to develop assistive tools for healthcare professionals. Automatic diagnostic systems are one such beneficial tool that can assist with a variety of tasks, including collecting patient information, analyzing test results, and diagnosing patients. However, the idea of developing systems that can provide a differential diagnosis has been largely overlooked in most of these research studies. In this study, we propose a transformer-based approach for providing differential diagnoses based on a patient's age, sex, medical history, and symptoms. We use the DDXPlus dataset, which provides differential diagnosis information for patients based on 49 disease types. Firstly, we propose a method to process the tabular patient data from the dataset and engineer them into patient reports to make them suitable for our research. In addition, we introduce two data modification modules to diversify the training data and consequently improve the robustness of the models. We approach the task as a multi-label classification problem and conduct extensive experiments using four transformer models. All the models displayed promising results by achieving over 97% F1 score on the held-out test set. Moreover, we design additional behavioral tests to get a broader understanding of the models. In particular, for one of our test cases, we prepared a custom test set of 100 samples with the assistance of a doctor. The results on the custom set showed that our proposed data modification modules improved the model's generalization capabilities. We hope our findings will provide future researchers with valuable insights and inspire them to develop reliable systems for automatic differential diagnosis.

Depression is a global burden and one of the most challenging mental health conditions to control. Experts can detect its severity early using the Beck Depression Inventory (BDI) questionnaire, administer appropriate medication to patients, and impede its progression. Due to the fear of potential stigmatization, many patients turn to social media platforms like Reddit for advice and assistance at various stages of their journey. This research extracts text from Reddit to facilitate the diagnostic process. It employs a proposed labeling approach to categorize the text and subsequently fine-tunes the Longformer model. The model's performance is compared against baseline models, including Naive Bayes, Random Forest, Support Vector Machines, and Gradient Boosting. Our findings reveal that the Longformer model outperforms the baseline models in both English (48%) and Luganda (45%) languages on a custom-made dataset.

Biased associations have been a challenge in the development of classifiers for detecting toxic language, hindering both fairness and accuracy. As potential solutions, we investigate recently introduced debiasing methods for text classification datasets and models, as applied to toxic language detection. Our focus is on lexical (e.g., swear words, slurs, identity mentions) and dialectal markers (specifically African American English). Our comprehensive experiments establish that existing methods are limited in their ability to prevent biased behavior in current toxicity detectors. We then propose an automatic, dialect-aware data correction method, as a proof-of-concept. Despite the use of synthetic labels, this method reduces dialectal associations with toxicity. Overall, our findings show that debiasing a model trained on biased toxic language data is not as effective as simply relabeling the data to remove existing biases.

Despite extensive standardization, diagnostic interviews for mental health disorders encompass substantial subjective judgment. Previous studies have demonstrated that EEG-based neural measures can function as reliable objective correlates of depression, or even predictors of depression and its course. However, their clinical utility has not been fully realized because of 1) the lack of automated ways to deal with the inherent noise associated with EEG data at scale, and 2) the lack of knowledge of which aspects of the EEG signal may be markers of a clinical disorder. Here we adapt an unsupervised pipeline from the recent deep representation learning literature to address these problems by 1) learning a disentangled representation using beta-VAE to denoise the signal, and 2) extracting interpretable features associated with a sparse set of clinical labels using a Symbol-Concept Association Network (SCAN). We demonstrate that our method is able to outperform the canonical hand-engineered baseline classification method on a number of factors, including participant age and depression diagnosis. Furthermore, our method recovers a representation that can be used to automatically extract denoised Event Related Potentials (ERPs) from novel, single EEG trajectories, and supports fast supervised re-mapping to various clinical labels, allowing clinicians to re-use a single EEG representation regardless of updates to the standardized diagnostic system. Finally, single factors of the learned disentangled representations often correspond to meaningful markers of clinical factors, as automatically detected by SCAN, allowing for human interpretability and post-hoc expert analysis of the recommendations made by the model.

We present a machine sound dataset to benchmark domain generalization techniques for anomalous sound detection (ASD). Domain shifts are differences in data distributions that can degrade the detection performance, and handling them is a major issue for the application of ASD systems. While currently available datasets for ASD tasks assume that occurrences of domain shifts are known, in practice, they can be difficult to detect. To handle such domain shifts, domain generalization techniques that perform well regardless of the domains should be investigated. In this paper, we present the first ASD dataset for the domain generalization techniques, called MIMII DG. The dataset consists of five machine types and three domain shift scenarios for each machine type. The dataset is dedicated to the domain generalization task with features such as multiple different values for parameters that cause domain shifts and introduction of domain shifts that can be difficult to detect, such as shifts in the background noise. Experimental results using two baseline systems indicate that the dataset reproduces domain shift scenarios and is useful for benchmarking domain generalization techniques.

The emergence of Large Language Models (LLMs) has revolutionized how users access information, shifting from traditional search engines to direct question-and-answer interactions with LLMs. However, the widespread adoption of LLMs has revealed a significant challenge known as hallucination, wherein LLMs generate coherent yet factually inaccurate responses. This hallucination phenomenon has led to users' distrust in information retrieval systems based on LLMs. To tackle this challenge, this paper proposes Dynamic Retrieval Augmentation based on hallucination Detection (DRAD) as a novel method to detect and mitigate hallucinations in LLMs. DRAD improves upon traditional retrieval augmentation by dynamically adapting the retrieval process based on real-time hallucination detection. It features two main components: Real-time Hallucination Detection (RHD) for identifying potential hallucinations without external models, and Self-correction based on External Knowledge (SEK) for correcting these errors using external knowledge. Experiment results show that DRAD demonstrates superior performance in both detecting and mitigating hallucinations in LLMs. All of our code and data are open-sourced at https://github.com/oneal2000/EntityHallucination.

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.

Recent studies have successfully shown that large language models (LLMs) can be successfully used for generative error correction (GER) on top of the automatic speech recognition (ASR) output. Specifically, an LLM is utilized to carry out a direct mapping from the N-best hypotheses list generated by an ASR system to the predicted output transcription. However, despite its effectiveness, GER introduces extra data uncertainty since the LLM is trained without taking into account acoustic information available in the speech signal. In this work, we aim to overcome such a limitation by infusing acoustic information before generating the predicted transcription through a novel late fusion solution termed Uncertainty-Aware Dynamic Fusion (UADF). UADF is a multimodal fusion approach implemented into an auto-regressive decoding process and works in two stages: (i) It first analyzes and calibrates the token-level LLM decision, and (ii) it then dynamically assimilates the information from the acoustic modality. Experimental evidence collected from various ASR tasks shows that UADF surpasses existing fusion mechanisms in several ways. It yields significant improvements in word error rate (WER) while mitigating data uncertainty issues in LLM and addressing the poor generalization relied with sole modality during fusion. We also demonstrate that UADF seamlessly adapts to audio-visual speech recognition.

Tokenization algorithms that merge the units of a base vocabulary into larger, variable-rate units have become standard in natural language processing tasks. This idea, however, has been mostly overlooked when the vocabulary consists of phonemes or Discrete Acoustic Units (DAUs), an audio-based representation that is playing an increasingly important role due to the success of discrete language-modeling techniques. In this paper, we showcase the advantages of tokenization of phonetic units and of DAUs on three prediction tasks: grapheme-to-phoneme, grapheme-to-DAUs, and unsupervised speech generation using DAU language modeling. We demonstrate that tokenization yields significant improvements in terms of performance, as well as training and inference speed, across all three tasks. We also offer theoretical insights to provide some explanation for the superior performance observed.

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/

This report describes our approach for the Audio-Visual Diarization (AVD) task of the Ego4D Challenge 2022. Specifically, we present multiple technical improvements over the official baselines. First, we improve the detection performance of the camera wearer's voice activity by modifying the training scheme of its model. Second, we discover that an off-the-shelf voice activity detection model can effectively remove false positives when it is applied solely to the camera wearer's voice activities. Lastly, we show that better active speaker detection leads to a better AVD outcome. Our final method obtains 65.9% DER on the test set of Ego4D, which significantly outperforms all the baselines. Our submission achieved 1st place in the Ego4D Challenge 2022.

Speech-to-speech translation systems today do not adequately support use for dialog purposes. In particular, nuances of speaker intent and stance can be lost due to improper prosody transfer. We present an exploration of what needs to be done to overcome this. First, we developed a data collection protocol in which bilingual speakers re-enact utterances from an earlier conversation in their other language, and used this to collect an English-Spanish corpus, so far comprising 1871 matched utterance pairs. Second, we developed a simple prosodic dissimilarity metric based on Euclidean distance over a broad set of prosodic features. We then used these to investigate cross-language prosodic differences, measure the likely utility of three simple baseline models, and identify phenomena which will require more powerful modeling. Our findings should inform future research on cross-language prosody and the design of speech-to-speech translation systems capable of effective prosody transfer.

Large language models (LLMs) are susceptible to hallucinations-outputs that are ungrounded, factually incorrect, or inconsistent with prior generations. We focus on close-book Question Answering (CBQA), where previous work has not fully addressed the distinction between two possible kinds of hallucinations, namely, whether the model (1) does not hold the correct answer in its parameters or (2) answers incorrectly despite having the required knowledge. We argue that distinguishing these cases is crucial for detecting and mitigating hallucinations. Specifically, case (2) may be mitigated by intervening in the model's internal computation, as the knowledge resides within the model's parameters. In contrast, in case (1) there is no parametric knowledge to leverage for mitigation, so it should be addressed by resorting to an external knowledge source or abstaining. To help distinguish between the two cases, we introduce Wrong Answer despite having Correct Knowledge (WACK), an approach for constructing model-specific datasets for the second hallucination type. Our probing experiments indicate that the two kinds of hallucinations are represented differently in the model's inner states. Next, we show that datasets constructed using WACK exhibit variations across models, demonstrating that even when models share knowledge of certain facts, they still vary in the specific examples that lead to hallucinations. Finally, we show that training a probe on our WACK datasets leads to better hallucination detection of case (2) hallucinations than using the common generic one-size-fits-all datasets. The code is available at https://github.com/technion-cs-nlp/hallucination-mitigation .

An accurate differential diagnosis (DDx) is a cornerstone of medical care, often reached through an iterative process of interpretation that combines clinical history, physical examination, investigations and procedures. Interactive interfaces powered by Large Language Models (LLMs) present new opportunities to both assist and automate aspects of this process. In this study, we introduce an LLM optimized for diagnostic reasoning, and evaluate its ability to generate a DDx alone or as an aid to clinicians. 20 clinicians evaluated 302 challenging, real-world medical cases sourced from the New England Journal of Medicine (NEJM) case reports. Each case report was read by two clinicians, who were randomized to one of two assistive conditions: either assistance from search engines and standard medical resources, or LLM assistance in addition to these tools. All clinicians provided a baseline, unassisted DDx prior to using the respective assistive tools. Our LLM for DDx exhibited standalone performance that exceeded that of unassisted clinicians (top-10 accuracy 59.1% vs 33.6%, [p = 0.04]). Comparing the two assisted study arms, the DDx quality score was higher for clinicians assisted by our LLM (top-10 accuracy 51.7%) compared to clinicians without its assistance (36.1%) (McNemar's Test: 45.7, p < 0.01) and clinicians with search (44.4%) (4.75, p = 0.03). Further, clinicians assisted by our LLM arrived at more comprehensive differential lists than those without its assistance. Our study suggests that our LLM for DDx has potential to improve clinicians' diagnostic reasoning and accuracy in challenging cases, meriting further real-world evaluation for its ability to empower physicians and widen patients' access to specialist-level expertise.

Despite the recent advancements in Automatic Speech Recognition (ASR), the recognition of accented speech still remains a dominant problem. In order to create more inclusive ASR systems, research has shown that the integration of accent information, as part of a larger ASR framework, can lead to the mitigation of accented speech errors. We address multilingual accent classification through the ECAPA-TDNN and Wav2Vec 2.0/XLSR architectures which have been proven to perform well on a variety of speech-related downstream tasks. We introduce a simple-to-follow recipe aligned to the SpeechBrain toolkit for accent classification based on Common Voice 7.0 (English) and Common Voice 11.0 (Italian, German, and Spanish). Furthermore, we establish new state-of-the-art for English accent classification with as high as 95% accuracy. We also study the internal categorization of the Wav2Vev 2.0 embeddings through t-SNE, noting that there is a level of clustering based on phonological similarity. (Our recipe is open-source in the SpeechBrain toolkit, see: https://github.com/speechbrain/speechbrain/tree/develop/recipes)

In this paper, we present WenetSpeech, a multi-domain Mandarin corpus consisting of 10000+ hours high-quality labeled speech, 2400+ hours weakly labeled speech, and about 10000 hours unlabeled speech, with 22400+ hours in total. We collect the data from YouTube and Podcast, which covers a variety of speaking styles, scenarios, domains, topics, and noisy conditions. An optical character recognition (OCR) based method is introduced to generate the audio/text segmentation candidates for the YouTube data on its corresponding video captions, while a high-quality ASR transcription system is used to generate audio/text pair candidates for the Podcast data. Then we propose a novel end-to-end label error detection approach to further validate and filter the candidates. We also provide three manually labelled high-quality test sets along with WenetSpeech for evaluation -- Dev for cross-validation purpose in training, Test_Net, collected from Internet for matched test, and Test\_Meeting, recorded from real meetings for more challenging mismatched test. Baseline systems trained with WenetSpeech are provided for three popular speech recognition toolkits, namely Kaldi, ESPnet, and WeNet, and recognition results on the three test sets are also provided as benchmarks. To the best of our knowledge, WenetSpeech is the current largest open-sourced Mandarin speech corpus with transcriptions, which benefits research on production-level speech recognition.

There has been a rapidly growing interest in Automatic Symptom Detection (ASD) and Automatic Diagnosis (AD) systems in the machine learning research literature, aiming to assist doctors in telemedicine services. These systems are designed to interact with patients, collect evidence about their symptoms and relevant antecedents, and possibly make predictions about the underlying diseases. Doctors would review the interactions, including the evidence and the predictions, collect if necessary additional information from patients, before deciding on next steps. Despite recent progress in this area, an important piece of doctors' interactions with patients is missing in the design of these systems, namely the differential diagnosis. Its absence is largely due to the lack of datasets that include such information for models to train on. In this work, we present a large-scale synthetic dataset of roughly 1.3 million patients that includes a differential diagnosis, along with the ground truth pathology, symptoms and antecedents for each patient. Unlike existing datasets which only contain binary symptoms and antecedents, this dataset also contains categorical and multi-choice symptoms and antecedents useful for efficient data collection. Moreover, some symptoms are organized in a hierarchy, making it possible to design systems able to interact with patients in a logical way. As a proof-of-concept, we extend two existing AD and ASD systems to incorporate the differential diagnosis, and provide empirical evidence that using differentials as training signals is essential for the efficiency of such systems or for helping doctors better understand the reasoning of those systems.

Abusive content detection in spoken text can be addressed by performing Automatic Speech Recognition (ASR) and leveraging advancements in natural language processing. However, ASR models introduce latency and often perform sub-optimally for profane words as they are underrepresented in training corpora and not spoken clearly or completely. Exploration of this problem entirely in the audio domain has largely been limited by the lack of audio datasets. Building on these challenges, we propose ADIMA, a novel, linguistically diverse, ethically sourced, expert annotated and well-balanced multilingual profanity detection audio dataset comprising of 11,775 audio samples in 10 Indic languages spanning 65 hours and spoken by 6,446 unique users. Through quantitative experiments across monolingual and cross-lingual zero-shot settings, we take the first step in democratizing audio based content moderation in Indic languages and set forth our dataset to pave future work.

This paper provides a baseline system for First-shot-compliant unsupervised anomaly detection (ASD) for machine condition monitoring. First-shot ASD does not allow systems to do machine-type dependent hyperparameter tuning or tool ensembling based on the performance metric calculated with the grand truth. To show benchmark performance for First-shot ASD, this paper proposes an anomaly sound detection system that works on the domain generalization task in the Detection and Classification of Acoustic Scenes and Events (DCASE) 2022 Challenge Task 2: "Unsupervised Anomalous Sound Detection for Machine Condition Monitoring Applying Domain Generalization Technique" while complying with the First-shot requirements introduced in the DCASE 2023 Challenge Task 2 (DCASE2023T2). A simple autoencoder based implementation combined with selective Mahalanobis metric is implemented as a baseline system. The performance evaluation is conducted to set the target benchmark for the forthcoming DCASE2023T2. Source code of the baseline system will be available on GitHub: https://github.com/nttcslab/dcase2023_task2_baseline_ae .

Multilingual automatic speech recognition (ASR) in the medical domain serves as a foundational task for various downstream applications such as speech translation, spoken language understanding, and voice-activated assistants. This technology enhances patient care by enabling efficient communication across language barriers, alleviating specialized workforce shortages, and facilitating improved diagnosis and treatment, particularly during pandemics. In this work, we introduce MultiMed, a collection of small-to-large end-to-end ASR models for the medical domain, spanning five languages: Vietnamese, English, German, French, and Mandarin Chinese, together with the corresponding real-world ASR dataset. To our best knowledge, MultiMed stands as the largest and the first multilingual medical ASR dataset, in terms of total duration, number of speakers, diversity of diseases, recording conditions, speaker roles, unique medical terms, accents, and ICD-10 codes. Secondly, we establish the empirical baselines, present the first reproducible study of multilinguality in medical ASR, conduct a layer-wise ablation study for end-to-end ASR training, and provide the first linguistic analysis for multilingual medical ASR. All code, data, and models are available online https://github.com/leduckhai/MultiMed/tree/master/MultiMed

In this study, we introduce ANGST, a novel, first-of-its kind benchmark for depression-anxiety comorbidity classification from social media posts. Unlike contemporary datasets that often oversimplify the intricate interplay between different mental health disorders by treating them as isolated conditions, ANGST enables multi-label classification, allowing each post to be simultaneously identified as indicating depression and/or anxiety. Comprising 2876 meticulously annotated posts by expert psychologists and an additional 7667 silver-labeled posts, ANGST posits a more representative sample of online mental health discourse. Moreover, we benchmark ANGST using various state-of-the-art language models, ranging from Mental-BERT to GPT-4. Our results provide significant insights into the capabilities and limitations of these models in complex diagnostic scenarios. While GPT-4 generally outperforms other models, none achieve an F1 score exceeding 72% in multi-class comorbid classification, underscoring the ongoing challenges in applying language models to mental health diagnostics.

One key characteristic of the Chinese spelling check (CSC) task is that incorrect characters are usually similar to the correct ones in either phonetics or glyph. To accommodate this, previous works usually leverage confusion sets, which suffer from two problems, i.e., difficulty in determining which character pairs to include and lack of probabilities to distinguish items in the set. In this paper, we propose a light-weight plug-and-play DISC (i.e., decoding intervention with similarity of characters) module for CSC models.DISC measures phonetic and glyph similarities between characters and incorporates this similarity information only during the inference phase. This method can be easily integrated into various existing CSC models, such as ReaLiSe, SCOPE, and ReLM, without additional training costs. Experiments on three CSC benchmarks demonstrate that our proposed method significantly improves model performance, approaching and even surpassing the current state-of-the-art models.

Recognizing overlapping speech from multiple speakers in conversational scenarios is one of the most challenging problem for automatic speech recognition (ASR). Serialized output training (SOT) is a classic method to address multi-talker ASR, with the idea of concatenating transcriptions from multiple speakers according to the emission times of their speech for training. However, SOT-style transcriptions, derived from concatenating multiple related utterances in a conversation, depend significantly on modeling long contexts. Therefore, compared to traditional methods that primarily emphasize encoder performance in attention-based encoder-decoder (AED) architectures, a novel approach utilizing large language models (LLMs) that leverages the capabilities of pre-trained decoders may be better suited for such complex and challenging scenarios. In this paper, we propose an LLM-based SOT approach for multi-talker ASR, leveraging pre-trained speech encoder and LLM, fine-tuning them on multi-talker dataset using appropriate strategies. Experimental results demonstrate that our approach surpasses traditional AED-based methods on the simulated dataset LibriMix and achieves state-of-the-art performance on the evaluation set of the real-world dataset AMI, outperforming the AED model trained with 1000 times more supervised data in previous works.

ASR models often suffer from a long-form deletion problem where the model predicts sequential blanks instead of words when transcribing a lengthy audio (in the order of minutes or hours). From the perspective of a user or downstream system consuming the ASR results, this behavior can be perceived as the model "being stuck", and potentially make the product hard to use. One of the culprits for long-form deletion is training-test data mismatch, which can happen even when the model is trained on diverse and large-scale data collected from multiple application domains. In this work, we introduce a novel technique to simultaneously model different groups of speakers in the audio along with the standard transcript tokens. Speakers are grouped as primary and non-primary, which connects the application domains and significantly alleviates the long-form deletion problem. This improved model neither needs any additional training data nor incurs additional training or inference cost.

As awareness of mental health issues grows, online counseling support services are becoming increasingly prevalent worldwide. Detecting whether users express suicidal ideation in text-based counseling services is crucial for identifying and prioritizing at-risk individuals. However, the lack of domain-specific systems to facilitate fine-grained suicide detection and corresponding risk assessment in online counseling poses a significant challenge for automated crisis intervention aimed at suicide prevention. In this paper, we propose PsyGUARD, an automated system for detecting suicide ideation and assessing risk in psychological counseling. To achieve this, we first develop a detailed taxonomy for detecting suicide ideation based on foundational theories. We then curate a large-scale, high-quality dataset called PsySUICIDE for suicide detection. To evaluate the capabilities of automated systems in fine-grained suicide detection, we establish a range of baselines. Subsequently, to assist automated services in providing safe, helpful, and tailored responses for further assessment, we propose to build a suite of risk assessment frameworks. Our study not only provides an insightful analysis of the effectiveness of automated risk assessment systems based on fine-grained suicide detection but also highlights their potential to improve mental health services on online counseling platforms. Code, data, and models are available at https://github.com/qiuhuachuan/PsyGUARD.

Recent advancements in speech-language models have yielded significant improvements in speech tokenization and synthesis. However, effectively mapping the complex, multidimensional attributes of speech into discrete tokens remains challenging. This process demands acoustic, semantic, and contextual information for precise speech representations. Existing speech representations generally fall into two categories: acoustic tokens from audio codecs and semantic tokens from speech self-supervised learning models. Although recent efforts have unified acoustic and semantic tokens for improved performance, they overlook the crucial role of contextual representation in comprehensive speech modeling. Our empirical investigations reveal that the absence of contextual representations results in elevated Word Error Rate (WER) and Word Information Lost (WIL) scores in speech transcriptions. To address these limitations, we propose two novel distillation approaches: (1) a language model (LM)-guided distillation method that incorporates contextual information, and (2) a combined LM and self-supervised speech model (SM)-guided distillation technique that effectively distills multimodal representations (acoustic, semantic, and contextual) into a comprehensive speech tokenizer, termed DM-Codec. The DM-Codec architecture adopts a streamlined encoder-decoder framework with a Residual Vector Quantizer (RVQ) and incorporates the LM and SM during the training process. Experiments show DM-Codec significantly outperforms state-of-the-art speech tokenization models, reducing WER by up to 13.46%, WIL by 9.82%, and improving speech quality by 5.84% and intelligibility by 1.85% on the LibriSpeech benchmark dataset. The code, samples, and model checkpoints are available at https://github.com/mubtasimahasan/DM-Codec.

The recent release of GPT-4o showcased the potential of end-to-end multimodal models, not just in terms of low latency but also in their ability to understand and generate expressive speech with rich emotions. While the details are unknown to the open research community, it likely involves significant amounts of curated data and compute, neither of which is readily accessible. In this paper, we present BLSP-Emo (Bootstrapped Language-Speech Pretraining with Emotion support), a novel approach to developing an end-to-end speech-language model capable of understanding both semantics and emotions in speech and generate empathetic responses. BLSP-Emo utilizes existing speech recognition (ASR) and speech emotion recognition (SER) datasets through a two-stage process. The first stage focuses on semantic alignment, following recent work on pretraining speech-language models using ASR data. The second stage performs emotion alignment with the pretrained speech-language model on an emotion-aware continuation task constructed from SER data. Our experiments demonstrate that the BLSP-Emo model excels in comprehending speech and delivering empathetic responses, both in instruction-following tasks and conversations.

Accurate diagnostic coding of medical notes is crucial for enhancing patient care, medical research, and error-free billing in healthcare organizations. Manual coding is a time-consuming task for providers, and diagnostic codes often exhibit low sensitivity and specificity, whereas the free text in medical notes can be a more precise description of a patients status. Thus, accurate automated diagnostic coding of medical notes has become critical for a learning healthcare system. Recent developments in long-document transformer architectures have enabled attention-based deep-learning models to adjudicate medical notes. In addition, contrastive loss functions have been used to jointly pre-train large language and image models with noisy labels. To further improve the automated adjudication of medical notes, we developed an approach based on i) models for ICD-10 diagnostic code sequences using a large real-world data set, ii) large language models for medical notes, and iii) contrastive pre-training to build an integrated model of both ICD-10 diagnostic codes and corresponding medical text. We demonstrate that a contrastive approach for pre-training improves performance over prior state-of-the-art models for the MIMIC-III-50, MIMIC-III-rare50, and MIMIC-III-full diagnostic coding 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.

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.

Driven by advances in self-supervised learning for speech, state-of-the-art synthetic speech detectors have achieved low error rates on popular benchmarks such as ASVspoof. However, prior benchmarks do not address the wide range of real-world variability in speech. Are reported error rates realistic in real-world conditions? To assess detector failure modes and robustness under controlled distribution shifts, we introduce ShiftySpeech, a benchmark with more than 3000 hours of synthetic speech from 7 domains, 6 TTS systems, 12 vocoders, and 3 languages. We found that all distribution shifts degraded model performance, and contrary to prior findings, training on more vocoders, speakers, or with data augmentation did not guarantee better generalization. In fact, we found that training on less diverse data resulted in better generalization, and that a detector fit using samples from a single carefully selected vocoder and a single speaker achieved state-of-the-art results on the challenging In-the-Wild benchmark.

Automatic speech recognition (ASR) allows transcribing the communications between air traffic controllers (ATCOs) and aircraft pilots. The transcriptions are used later to extract ATC named entities, e.g., aircraft callsigns. One common challenge is speech activity detection (SAD) and speaker diarization (SD). In the failure condition, two or more segments remain in the same recording, jeopardizing the overall performance. We propose a system that combines SAD and a BERT model to perform speaker change detection and speaker role detection (SRD) by chunking ASR transcripts, i.e., SD with a defined number of speakers together with SRD. The proposed model is evaluated on real-life public ATC databases. Our BERT SD model baseline reaches up to 10% and 20% token-based Jaccard error rate (JER) in public and private ATC databases. We also achieved relative improvements of 32% and 7.7% in JERs and SD error rate (DER), respectively, compared to VBx, a well-known SD system.

Detecting hallucinations in large language models (LLMs) is critical for enhancing their reliability and trustworthiness. Most research focuses on hallucinations as deviations from information seen during training. However, the opaque nature of an LLM's parametric knowledge complicates the understanding of why generated texts appear ungrounded: The LLM might not have picked up the necessary knowledge from large and often inaccessible datasets, or the information might have been changed or contradicted during further training. Our focus is on hallucinations involving information not used in training, which we determine by using recency to ensure the information emerged after a cut-off date. This study investigates these hallucinations by detecting them at sentence level using different internal states of various LLMs. We present HalluRAG, a dataset designed to train classifiers on these hallucinations. Depending on the model and quantization, MLPs trained on HalluRAG detect hallucinations with test accuracies ranging up to 75 %, with Mistral-7B-Instruct-v0.1 achieving the highest test accuracies. Our results show that IAVs detect hallucinations as effectively as CEVs and reveal that answerable and unanswerable prompts are encoded differently as separate classifiers for these categories improved accuracy. However, HalluRAG showed some limited generalizability, advocating for more diversity in datasets on hallucinations.

Several recent papers have published good solutions for language identification (LID) for about 300 high-resource and medium-resource languages. However, there is no LID available that (i) covers a wide range of low-resource languages, (ii) is rigorously evaluated and reliable and (iii) efficient and easy to use. Here, we publish GlotLID-M, an LID model that satisfies the desiderata of wide coverage, reliability and efficiency. It identifies 1665 languages, a large increase in coverage compared to prior work. In our experiments, GlotLID-M outperforms four baselines (CLD3, FT176, OpenLID and NLLB) when balancing F1 and false positive rate (FPR). We analyze the unique challenges that low-resource LID poses: incorrect corpus metadata, leakage from high-resource languages, difficulty separating closely related languages, handling of macrolanguage vs varieties and in general noisy data. We hope that integrating GlotLID-M into dataset creation pipelines will improve quality and enhance accessibility of NLP technology for low-resource languages and cultures. GlotLID-M model, code, and list of data sources are available: https://github.com/cisnlp/GlotLID.

The proliferation of online toxic speech is a pertinent problem posing threats to demographic groups. While explicit toxic speech contains offensive lexical signals, implicit one consists of coded or indirect language. Therefore, it is crucial for models not only to detect implicit toxic speech but also to explain its toxicity. This draws a unique need for unified frameworks that can effectively detect and explain implicit toxic speech. Prior works mainly formulated the task of toxic speech detection and explanation as a text generation problem. Nonetheless, models trained using this strategy can be prone to suffer from the consequent error propagation problem. Moreover, our experiments reveal that the detection results of such models are much lower than those that focus only on the detection task. To bridge these gaps, we introduce ToXCL, a unified framework for the detection and explanation of implicit toxic speech. Our model consists of three modules: a (i) Target Group Generator to generate the targeted demographic group(s) of a given post; an (ii) Encoder-Decoder Model in which the encoder focuses on detecting implicit toxic speech and is boosted by a (iii) Teacher Classifier via knowledge distillation, and the decoder generates the necessary explanation. ToXCL achieves new state-of-the-art effectiveness, and outperforms baselines significantly.

This paper presents a novel multimodal framework to distinguish between different symptom classes of subjects in the schizophrenia spectrum and healthy controls using audio, video, and text modalities. We implemented Convolution Neural Network and Long Short Term Memory based unimodal models and experimented on various multimodal fusion approaches to come up with the proposed framework. We utilized a minimal Gated multimodal unit (mGMU) to obtain a bi-modal intermediate fusion of the features extracted from the input modalities before finally fusing the outputs of the bimodal fusions to perform subject-wise classifications. The use of mGMU units in the multimodal framework improved the performance in both weighted f1-score and weighted AUC-ROC scores.

Adverse Drug Reactions (ADRs) from psychiatric medications are the leading cause of hospitalizations among mental health patients. With healthcare systems and online communities facing limitations in resolving ADR-related issues, Large Language Models (LLMs) have the potential to fill this gap. Despite the increasing capabilities of LLMs, past research has not explored their capabilities in detecting ADRs related to psychiatric medications or in providing effective harm reduction strategies. To address this, we introduce the Psych-ADR benchmark and the Adverse Drug Reaction Response Assessment (ADRA) framework to systematically evaluate LLM performance in detecting ADR expressions and delivering expert-aligned mitigation strategies. Our analyses show that LLMs struggle with understanding the nuances of ADRs and differentiating between types of ADRs. While LLMs align with experts in terms of expressed emotions and tone of the text, their responses are more complex, harder to read, and only 70.86% aligned with expert strategies. Furthermore, they provide less actionable advice by a margin of 12.32% on average. Our work provides a comprehensive benchmark and evaluation framework for assessing LLMs in strategy-driven tasks within high-risk domains.

As Large Language Models (LLMs) continue to advance in their ability to write human-like text, a key challenge remains around their tendency to hallucinate generating content that appears factual but is ungrounded. This issue of hallucination is arguably the biggest hindrance to safely deploying these powerful LLMs into real-world production systems that impact people's lives. The journey toward widespread adoption of LLMs in practical settings heavily relies on addressing and mitigating hallucinations. Unlike traditional AI systems focused on limited tasks, LLMs have been exposed to vast amounts of online text data during training. While this allows them to display impressive language fluency, it also means they are capable of extrapolating information from the biases in training data, misinterpreting ambiguous prompts, or modifying the information to align superficially with the input. This becomes hugely alarming when we rely on language generation capabilities for sensitive applications, such as summarizing medical records, financial analysis reports, etc. This paper presents a comprehensive survey of over 32 techniques developed to mitigate hallucination in LLMs. Notable among these are Retrieval Augmented Generation (Lewis et al, 2021), Knowledge Retrieval (Varshney et al,2023), CoNLI (Lei et al, 2023), and CoVe (Dhuliawala et al, 2023). Furthermore, we introduce a detailed taxonomy categorizing these methods based on various parameters, such as dataset utilization, common tasks, feedback mechanisms, and retriever types. This classification helps distinguish the diverse approaches specifically designed to tackle hallucination issues in LLMs. Additionally, we analyze the challenges and limitations inherent in these techniques, providing a solid foundation for future research in addressing hallucinations and related phenomena within the realm of LLMs.

This paper presents a speech intelligibility model based on automatic speech recognition (ASR), combining phoneme probabilities from deep neural networks (DNN) and a performance measure that estimates the word error rate from these probabilities. This model does not require the clean speech reference nor the word labels during testing as the ASR decoding step, which finds the most likely sequence of words given phoneme posterior probabilities, is omitted. The model is evaluated via the root-mean-squared error between the predicted and observed speech reception thresholds from eight normal-hearing listeners. The recognition task consists of identifying noisy words from a German matrix sentence test. The speech material was mixed with eight noise maskers covering different modulation types, from speech-shaped stationary noise to a single-talker masker. The prediction performance is compared to five established models and an ASR-model using word labels. Two combinations of features and networks were tested. Both include temporal information either at the feature level (amplitude modulation filterbanks and a feed-forward network) or captured by the architecture (mel-spectrograms and a time-delay deep neural network, TDNN). The TDNN model is on par with the DNN while reducing the number of parameters by a factor of 37; this optimization allows parallel streams on dedicated hearing aid hardware as a forward-pass can be computed within the 10ms of each frame. The proposed model performs almost as well as the label-based model and produces more accurate predictions than the baseline models.

This paper introduces FT Speech, a new speech corpus created from the recorded meetings of the Danish Parliament, otherwise known as the Folketing (FT). The corpus contains over 1,800 hours of transcribed speech by a total of 434 speakers. It is significantly larger in duration, vocabulary, and amount of spontaneous speech than the existing public speech corpora for Danish, which are largely limited to read-aloud and dictation data. We outline design considerations, including the preprocessing methods and the alignment procedure. To evaluate the quality of the corpus, we train automatic speech recognition systems on the new resource and compare them to the systems trained on the Danish part of Sprakbanken, the largest public ASR corpus for Danish to date. Our baseline results show that we achieve a 14.01 WER on the new corpus. A combination of FT Speech with in-domain language data provides comparable results to models trained specifically on Sprakbanken, showing that FT Speech transfers well to this data set. Interestingly, our results demonstrate that the opposite is not the case. This shows that FT Speech provides a valuable resource for promoting research on Danish ASR with more spontaneous speech.

Self-supervised representation learning (SSRL) has demonstrated superior performance than supervised models for tasks including phoneme recognition. Training SSRL models poses a challenge for low-resource languages where sufficient pre-training data may not be available. A common approach is cross-lingual pre-training. Instead, we propose to use audio augmentation techniques, namely: pitch variation, noise addition, accented target language and other language speech to pre-train SSRL models in a low resource condition and evaluate phoneme recognition. Our comparisons found that a combined synthetic augmentations (noise/pitch) strategy outperformed accent and language knowledge transfer. Furthermore, we examined the scaling factor of augmented data to achieve equivalent performance to model pre-trained with target domain speech. Our findings suggest that for resource-constrained languages, combined augmentations can be a viable option than other augmentations.

Advances in large language models (LLMs) have empowered a variety of applications. However, there is still a significant gap in research when it comes to understanding and enhancing the capabilities of LLMs in the field of mental health. In this work, we present the first comprehensive evaluation of multiple LLMs, including Alpaca, Alpaca-LoRA, FLAN-T5, GPT-3.5, and GPT-4, on various mental health prediction tasks via online text data. We conduct a broad range of experiments, covering zero-shot prompting, few-shot prompting, and instruction fine-tuning. The results indicate a promising yet limited performance of LLMs with zero-shot and few-shot prompt designs for the mental health tasks. More importantly, our experiments show that instruction finetuning can significantly boost the performance of LLMs for all tasks simultaneously. Our best-finetuned models, Mental-Alpaca and Mental-FLAN-T5, outperform the best prompt design of GPT-3.5 (25 and 15 times bigger) by 10.9% on balanced accuracy and the best of GPT-4 (250 and 150 times bigger) by 4.8%. They further perform on par with the state-of-the-art task-specific language model. We also conduct an exploratory case study on LLMs' capability on the mental health reasoning tasks, illustrating the promising capability of certain models such as GPT-4. We summarize our findings into a set of action guidelines for potential methods to enhance LLMs' capability for mental health tasks. Meanwhile, we also emphasize the important limitations before achieving deployability in real-world mental health settings, such as known racial and gender bias. We highlight the important ethical risks accompanying this line of research.

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.

This paper describes FBK's system submission to the IWSLT 2021 Offline Speech Translation task. We participated with a direct model, which is a Transformer-based architecture trained to translate English speech audio data into German texts. The training pipeline is characterized by knowledge distillation and a two-step fine-tuning procedure. Both knowledge distillation and the first fine-tuning step are carried out on manually segmented real and synthetic data, the latter being generated with an MT system trained on the available corpora. Differently, the second fine-tuning step is carried out on a random segmentation of the MuST-C v2 En-De dataset. Its main goal is to reduce the performance drops occurring when a speech translation model trained on manually segmented data (i.e. an ideal, sentence-like segmentation) is evaluated on automatically segmented audio (i.e. actual, more realistic testing conditions). For the same purpose, a custom hybrid segmentation procedure that accounts for both audio content (pauses) and for the length of the produced segments is applied to the test data before passing them to the system. At inference time, we compared this procedure with a baseline segmentation method based on Voice Activity Detection (VAD). Our results indicate the effectiveness of the proposed hybrid approach, shown by a reduction of the gap with manual segmentation from 8.3 to 1.4 BLEU points.

Voice activity detection is the task of detecting speech regions in a given audio stream or recording. First, we design a neural network combining trainable filters and recurrent layers to tackle voice activity detection directly from the waveform. Experiments on the challenging DIHARD dataset show that the proposed end-to-end model reaches state-of-the-art performance and outperforms a variant where trainable filters are replaced by standard cepstral coefficients. Our second contribution aims at making the proposed voice activity detection model robust to domain mismatch. To that end, a domain classification branch is added to the network and trained in an adversarial manner. The same DIHARD dataset, drawn from 11 different domains is used for evaluation under two scenarios. In the in-domain scenario where the training and test sets cover the exact same domains, we show that the domain-adversarial approach does not degrade performance of the proposed end-to-end model. In the out-domain scenario where the test domain is different from training domains, it brings a relative improvement of more than 10%. Finally, our last contribution is the provision of a fully reproducible open-source pipeline than can be easily adapted to other datasets.

This paper presents the Esethu Framework, a sustainable data curation framework specifically designed to empower local communities and ensure equitable benefit-sharing from their linguistic resources. This framework is supported by the Esethu license, a novel community-centric data license. As a proof of concept, we introduce the Vuk'uzenzele isiXhosa Speech Dataset (ViXSD), an open-source corpus developed under the Esethu Framework and License. The dataset, containing read speech from native isiXhosa speakers enriched with demographic and linguistic metadata, demonstrates how community-driven licensing and curation principles can bridge resource gaps in automatic speech recognition (ASR) for African languages while safeguarding the interests of data creators. We describe the framework guiding dataset development, outline the Esethu license provisions, present the methodology for ViXSD, and present ASR experiments validating ViXSD's usability in building and refining voice-driven applications for isiXhosa.

For a large portion of real-life utterances, the intention cannot be solely decided by either their semantic or syntactic characteristics. Although not all the sociolinguistic and pragmatic information can be digitized, at least phonetic features are indispensable in understanding the spoken language. Especially in head-final languages such as Korean, sentence-final prosody has great importance in identifying the speaker's intention. This paper suggests a system which identifies the inherent intention of a spoken utterance given its transcript, in some cases using auxiliary acoustic features. The main point here is a separate distinction for cases where discrimination of intention requires an acoustic cue. Thus, the proposed classification system decides whether the given utterance is a fragment, statement, question, command, or a rhetorical question/command, utilizing the intonation-dependency coming from the head-finality. Based on an intuitive understanding of the Korean language that is engaged in the data annotation, we construct a network which identifies the intention of a speech, and validate its utility with the test sentences. The system, if combined with up-to-date speech recognizers, is expected to be flexibly inserted into various language understanding modules.

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.

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.

The prevalent use of large language models (LLMs) in various domains has drawn attention to the issue of "hallucination," which refers to instances where LLMs generate factually inaccurate or ungrounded information. Existing techniques for hallucination detection in language assistants rely on intricate fuzzy, specific free-language-based chain of thought (CoT) techniques or parameter-based methods that suffer from interpretability issues. Additionally, the methods that identify hallucinations post-generation could not prevent their occurrence and suffer from inconsistent performance due to the influence of the instruction format and model style. In this paper, we introduce a novel pre-detection self-evaluation technique, referred to as SELF-FAMILIARITY, which focuses on evaluating the model's familiarity with the concepts present in the input instruction and withholding the generation of response in case of unfamiliar concepts. This approach emulates the human ability to refrain from responding to unfamiliar topics, thus reducing hallucinations. We validate SELF-FAMILIARITY across four different large language models, demonstrating consistently superior performance compared to existing techniques. Our findings propose a significant shift towards preemptive strategies for hallucination mitigation in LLM assistants, promising improvements in reliability, applicability, and interpretability.

Linking clinical narratives to standardized vocabularies and coding systems is a key component of unlocking the information in medical text for analysis. However, many domains of medical concepts lack well-developed terminologies that can support effective coding of medical text. We present a framework for developing natural language processing (NLP) technologies for automated coding of under-studied types of medical information, and demonstrate its applicability via a case study on physical mobility function. Mobility is a component of many health measures, from post-acute care and surgical outcomes to chronic frailty and disability, and is coded in the International Classification of Functioning, Disability, and Health (ICF). However, mobility and other types of functional activity remain under-studied in medical informatics, and neither the ICF nor commonly-used medical terminologies capture functional status terminology in practice. We investigated two data-driven paradigms, classification and candidate selection, to link narrative observations of mobility to standardized ICF codes, using a dataset of clinical narratives from physical therapy encounters. Recent advances in language modeling and word embedding were used as features for established machine learning models and a novel deep learning approach, achieving a macro F-1 score of 84% on linking mobility activity reports to ICF codes. Both classification and candidate selection approaches present distinct strengths for automated coding in under-studied domains, and we highlight that the combination of (i) a small annotated data set; (ii) expert definitions of codes of interest; and (iii) a representative text corpus is sufficient to produce high-performing automated coding systems. This study has implications for the ongoing growth of NLP tools for a variety of specialized applications in clinical care and research.

This paper describes the Arabic MGB-3 Challenge - Arabic Speech Recognition in the Wild. Unlike last year's Arabic MGB-2 Challenge, for which the recognition task was based on more than 1,200 hours broadcast TV news recordings from Aljazeera Arabic TV programs, MGB-3 emphasises dialectal Arabic using a multi-genre collection of Egyptian YouTube videos. Seven genres were used for the data collection: comedy, cooking, family/kids, fashion, drama, sports, and science (TEDx). A total of 16 hours of videos, split evenly across the different genres, were divided into adaptation, development and evaluation data sets. The Arabic MGB-Challenge comprised two tasks: A) Speech transcription, evaluated on the MGB-3 test set, along with the 10 hour MGB-2 test set to report progress on the MGB-2 evaluation; B) Arabic dialect identification, introduced this year in order to distinguish between four major Arabic dialects - Egyptian, Levantine, North African, Gulf, as well as Modern Standard Arabic. Two hours of audio per dialect were released for development and a further two hours were used for evaluation. For dialect identification, both lexical features and i-vector bottleneck features were shared with participants in addition to the raw audio recordings. Overall, thirteen teams submitted ten systems to the challenge. We outline the approaches adopted in each system, and summarise the evaluation results.

Mental health disorders are one of the most serious diseases in the world. Most people with such a disease lack access to adequate care, which highlights the importance of training models for the diagnosis and treatment of mental health disorders. However, in the mental health domain, privacy concerns limit the accessibility of personalized treatment data, making it challenging to build powerful models. In this paper, we introduce MentalArena, a self-play framework to train language models by generating domain-specific personalized data, where we obtain a better model capable of making a personalized diagnosis and treatment (as a therapist) and providing information (as a patient). To accurately model human-like mental health patients, we devise Symptom Encoder, which simulates a real patient from both cognition and behavior perspectives. To address intent bias during patient-therapist interactions, we propose Symptom Decoder to compare diagnosed symptoms with encoded symptoms, and dynamically manage the dialogue between patient and therapist according to the identified deviations. We evaluated MentalArena against 6 benchmarks, including biomedicalQA and mental health tasks, compared to 6 advanced models. Our models, fine-tuned on both GPT-3.5 and Llama-3-8b, significantly outperform their counterparts, including GPT-4o. We hope that our work can inspire future research on personalized care. Code is available in https://github.com/Scarelette/MentalArena/tree/main

Large Language Models (LLMs) present immense potential in the medical field, yet concerns over data privacy, regulatory compliance, and model stability restrict their widespread adoption. Although the distillation of high-performing closed-source LLMs has proven effective for general tasks, their application in healthcare is limited due to reduced domain knowledge and remnants of alignment behavior hindering clinical tasks. To address these challenges, we propose Dialogue-Based Knowledge Encoding (DBKE). DBKE enhances models' implicit knowledge base and primes them for conversational recall, augmenting their conversational capabilities and enabling a soft alignment for subsequent use cases. By transforming dense academic source text into synthetic dialogue, DBKE broadens the model's knowledge base and enables a soft alignment that guides downstream behaviours. We present Clinical Camel, an open-source, healthcare-focused conversational model, to showcase the effectiveness of DBKE. Clinical Camel outperforms GPT-3.5 on the United States Medical Licensing Examination (USMLE) Step 1 and Step 3 with scores of 53.2 % and 58.2 %, respectively, compared to GPT-3.5's scores of 36.1 % and 55.7 %. Clinical Camel adeptly handles multi-stage clinical case problems, provides adaptive counseling, and generates clinical notes. However, it is prone to hallucinations, which pose a significant obstacle in safety-critical settings. The performance of Clinical Camel underscores the importance of continued research and development of open-source models for the safe and effective integration of LLMs in healthcare settings.

Most End-to-End SLU methods depend on the pretrained ASR or language model features for intent prediction. However, other essential information in speech, such as prosody, is often ignored. Recent research has shown improved results in classifying dialogue acts by incorporating prosodic information. The margins of improvement in these methods are minimal as the neural models ignore prosodic features. In this work, we propose prosody-attention, which uses the prosodic features differently to generate attention maps across time frames of the utterance. Then we propose prosody-distillation to explicitly learn the prosodic information in the acoustic encoder rather than concatenating the implicit prosodic features. Both the proposed methods improve the baseline results, and the prosody-distillation method gives an intent classification accuracy improvement of 8\% and 2\% on SLURP and STOP datasets over the prosody baseline.

Recognizing human non-speech vocalizations is an important task and has broad applications such as automatic sound transcription and health condition monitoring. However, existing datasets have a relatively small number of vocal sound samples or noisy labels. As a consequence, state-of-the-art audio event classification models may not perform well in detecting human vocal sounds. To support research on building robust and accurate vocal sound recognition, we have created a VocalSound dataset consisting of over 21,000 crowdsourced recordings of laughter, sighs, coughs, throat clearing, sneezes, and sniffs from 3,365 unique subjects. Experiments show that the vocal sound recognition performance of a model can be significantly improved by 41.9% by adding VocalSound dataset to an existing dataset as training material. In addition, different from previous datasets, the VocalSound dataset contains meta information such as speaker age, gender, native language, country, and health condition.

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/

Text-to-Speech (TTS) technology brings significant advantages, such as giving a voice to those with speech impairments, but also enables audio deepfakes and spoofs. The former mislead individuals and may propagate misinformation, while the latter undermine voice biometric security systems. AI-based detection can help to address these challenges by automatically differentiating between genuine and fabricated voice recordings. However, these models are only as good as their training data, which currently is severely limited due to an overwhelming concentration on English and Chinese audio in anti-spoofing databases, thus restricting its worldwide effectiveness. In response, this paper presents the Multi-Language Audio Anti-Spoof Dataset (MLAAD), created using 52 TTS models, comprising 19 different architectures, to generate 160.1 hours of synthetic voice in 23 different languages. We train and evaluate three state-of-the-art deepfake detection models with MLAAD, and observe that MLAAD demonstrates superior performance over comparable datasets like InTheWild or FakeOrReal when used as a training resource. Furthermore, in comparison with the renowned ASVspoof 2019 dataset, MLAAD proves to be a complementary resource. In tests across eight datasets, MLAAD and ASVspoof 2019 alternately outperformed each other, both excelling on four datasets. By publishing MLAAD and making trained models accessible via an interactive webserver , we aim to democratize antispoofing technology, making it accessible beyond the realm of specialists, thus contributing to global efforts against audio spoofing and deepfakes.

Prosody plays an important role in characterizing the style of a speaker or an emotion, but most non-parallel voice or emotion style transfer algorithms do not convert any prosody information. Two major components of prosody are pitch and rhythm. Disentangling the prosody information, particularly the rhythm component, from the speech is challenging because it involves breaking the synchrony between the input speech and the disentangled speech representation. As a result, most existing prosody style transfer algorithms would need to rely on some form of text transcriptions to identify the content information, which confines their application to high-resource languages only. Recently, SpeechSplit has made sizeable progress towards unsupervised prosody style transfer, but it is unable to extract high-level global prosody style in an unsupervised manner. In this paper, we propose AutoPST, which can disentangle global prosody style from speech without relying on any text transcriptions. AutoPST is an Autoencoder-based Prosody Style Transfer framework with a thorough rhythm removal module guided by the self-expressive representation learning. Experiments on different style transfer tasks show that AutoPST can effectively convert prosody that correctly reflects the styles of the target domains.

We introduce a sophisticated multi-speaker speech data simulator, specifically engineered to generate multi-speaker speech recordings. A notable feature of this simulator is its capacity to modulate the distribution of silence and overlap via the adjustment of statistical parameters. This capability offers a tailored training environment for developing neural models suited for speaker diarization and voice activity detection. The acquisition of substantial datasets for speaker diarization often presents a significant challenge, particularly in multi-speaker scenarios. Furthermore, the precise time stamp annotation of speech data is a critical factor for training both speaker diarization and voice activity detection. Our proposed multi-speaker simulator tackles these problems by generating large-scale audio mixtures that maintain statistical properties closely aligned with the input parameters. We demonstrate that the proposed multi-speaker simulator generates audio mixtures with statistical properties that closely align with the input parameters derived from real-world statistics. Additionally, we present the effectiveness of speaker diarization and voice activity detection models, which have been trained exclusively on the generated simulated datasets.

Phoneme boundary detection plays an essential first step for a variety of speech processing applications such as speaker diarization, speech science, keyword spotting, etc. In this work, we propose a neural architecture coupled with a parameterized structured loss function to learn segmental representations for the task of phoneme boundary detection. First, we evaluated our model when the spoken phonemes were not given as input. Results on the TIMIT and Buckeye corpora suggest that the proposed model is superior to the baseline models and reaches state-of-the-art performance in terms of F1 and R-value. We further explore the use of phonetic transcription as additional supervision and show this yields minor improvements in performance but substantially better convergence rates. We additionally evaluate the model on a Hebrew corpus and demonstrate such phonetic supervision can be beneficial in a multi-lingual setting.

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).

Approaching Speech-to-Text and Automatic Speech Recognition problems in low-resource languages is notoriously challenging due to the scarcity of validated datasets and the diversity of dialects. Arabic, Russian, and Portuguese exemplify these difficulties, being low-resource languages due to the many dialects of these languages across different continents worldwide. Moreover, the variety of accents and pronunciations of such languages complicate ASR models' success. With the increasing popularity of Deep Learning and Transformers, acoustic models like the renowned Wav2Vec2 have achieved superior performance in the Speech Recognition field compared to state-of-the-art approaches. However, despite Wav2Vec2's improved efficiency over traditional methods, its performance significantly declines for under-represented languages, even though it requires significantly less labeled data. This paper introduces an end-to-end framework that enhances ASR systems fine-tuned on Wav2Vec2 through data augmentation techniques. To validate our framework's effectiveness, we conducted a detailed experimental evaluation using three datasets from Mozilla's Common Voice project in Arabic, Russian, and Portuguese. Additionally, the framework presented in this paper demonstrates robustness to different diacritics. Ultimately, our approach outperforms two previous baseline models, which are the pre-trained Wav2Vec2 and the well-known Whisper ASR model, resulting in an average relative improvement of 33.9\% in Word Error Rate and a 53.2\% relative improvement in Character Error Rate.

Segmentation for continuous Automatic Speech Recognition (ASR) has traditionally used silence timeouts or voice activity detectors (VADs), which are both limited to acoustic features. This segmentation is often overly aggressive, given that people naturally pause to think as they speak. Consequently, segmentation happens mid-sentence, hindering both punctuation and downstream tasks like machine translation for which high-quality segmentation is critical. Model-based segmentation methods that leverage acoustic features are powerful, but without an understanding of the language itself, these approaches are limited. We present a hybrid approach that leverages both acoustic and language information to improve segmentation. Furthermore, we show that including one word as a look-ahead boosts segmentation quality. On average, our models improve segmentation-F0.5 score by 9.8% over baseline. We show that this approach works for multiple languages. For the downstream task of machine translation, it improves the translation BLEU score by an average of 1.05 points.