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.

Young children spend substantial portions of their waking hours in noisy preschool classrooms. In these environments, children's vocal interactions with teachers are critical contributors to their language outcomes, but manually transcribing these interactions is prohibitive. Using audio from child- and teacher-worn recorders, we propose an automated framework that uses open source software both to classify speakers (ALICE) and to transcribe their utterances (Whisper). We compare results from our framework to those from a human expert for 110 minutes of classroom recordings, including 85 minutes from child-word microphones (n=4 children) and 25 minutes from teacher-worn microphones (n=2 teachers). The overall proportion of agreement, that is, the proportion of correctly classified teacher and child utterances, was .76, with an error-corrected kappa of .50 and a weighted F1 of .76. The word error rate for both teacher and child transcriptions was .15, meaning that 15% of words would need to be deleted, added, or changed to equate the Whisper and expert transcriptions. Moreover, speech features such as the mean length of utterances in words, the proportion of teacher and child utterances that were questions, and the proportion of utterances that were responded to within 2.5 seconds were similar when calculated separately from expert and automated transcriptions. The results suggest substantial progress in analyzing classroom speech that may support children's language development. Future research using natural language processing is underway to improve speaker classification and to analyze results from the application of the automated it framework to a larger dataset containing classroom recordings from 13 children and 4 teachers observed on 17 occasions over one year.

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.