@inproceedings{zhang-etal-2025-speecht,
    title = "{S}peech{T}-{RAG}: Reliable Depression Detection in {LLM}s with Retrieval-Augmented Generation Using Speech Timing Information",
    author = "Zhang, Xiangyu  and
      Liu, Hexin  and
      Zhang, Qiquan  and
      Ahmed, Beena  and
      Epps, Julien",
    editor = "Che, Wanxiang  and
      Nabende, Joyce  and
      Shutova, Ekaterina  and
      Pilehvar, Mohammad Taher",
    booktitle = "Findings of the Association for Computational Linguistics: ACL 2025",
    month = jul,
    year = "2025",
    address = "Vienna, Austria",
    publisher = "Association for Computational Linguistics",
    url = "https://preview.aclanthology.org/ingestion-acl-25/2025.findings-acl.521/",
    pages = "10019--10030",
    ISBN = "979-8-89176-256-5",
    abstract = "Large Language Models (LLMs) have been increasingly adopted for health-related tasks, yet their performance in depression detection remains limited when relying solely on text input. While Retrieval-Augmented Generation (RAG) typically enhances LLM capabilities, our experiments indicate that traditional text-based RAG systems struggle to significantly improve depression detection accuracy. This challenge stems partly from the rich depression-relevant information encoded in acoustic speech patterns {---} information that current text-only approaches fail to capture effectively. To address this limitation, we conduct a systematic analysis of temporal speech patterns, comparing healthy individuals with those experiencing depression. Based on our findings, we introduce Speech Timing-based Retrieval-Augmented Generation, SpeechT-RAG, a novel system that leverages speech timing features for both accurate depression detection and reliable confidence estimation. This integrated approach not only outperforms traditional text-based RAG systems in detection accuracy but also enhances uncertainty quantification through a confidence scoring mechanism that naturally extends from the same temporal features. Our unified framework achieves comparable results to fine-tuned LLMs without additional training while simultaneously addressing the fundamental requirements for both accuracy and trustworthiness in mental health assessment"
}