Depression is one of the most prevalent mental health disorders globally. In recent years, multi-modal data, such as speech, video, and transcripts, has been increasingly used to develop AI-assisted depression assessment systems. Large language models have further advanced this field due to their strong language understanding and generalization capabilities. However, conventional LLMs remain text-centric and cannot process the rich non-verbal cues found in audio and visual modalities, which are critical components in mental health evaluation. While multi-modal LLMs offer a promising direction, few are tailored for psychological applications. In this study, we propose a novel multi-modal LLM framework for depression detection. This fine-grained alignment improves modeling of temporal dynamics across modalities while reducing the need for extensive training data and computational resources. Experiments on the DAIC-WoZ dataset demonstrate that our model outperforms both single-modality approaches and previous multi-modal methods. Moreover, the proposed framework can be extended to incorporate additional physiological signals, paving the way for broader clinical applications beyond mental health. Depression has emerged as a critical concern in the field of mental health, affecting a broad population across various age groups. Particularly, the incidence of depression among adolescents has surged over the past decade, raising significant social and public health concerns (Thapar et al., 2022).

Audio-based depression detection models have demonstrated promising performance but often suffer from gender bias due to imbalanced training data. Epidemiological statistics show a higher prevalence of depression in females, leading models to learn spurious correlations between gender and depression. Consequently, models tend to over-diagnose female patients while underperforming on male patients, raising significant fairness concerns. To address this, we propose a novel Counterfactual Debiasing Framework grounded in causal inference. We construct a causal graph to model the decision-making process and identify gender bias as the direct causal effect of gender on the prediction. During inference, we employ counterfactual inference to estimate and subtract this direct effect, ensuring the model relies primarily on authentic acoustic pathological features. Extensive experiments on the DAIC-WOZ dataset using two advanced acoustic backbones demonstrate that our framework not only significantly reduces gender bias but also improves overall detection performance compared to existing debiasing strategies.

Depression is a prevalent global mental health disorder, characterised by persistent low mood and anhedonia. However, it remains underdiagnosed because current diagnostic methods depend heavily on subjective clinical assessments. To enable objective detection, we introduce a gold standard dataset of 103 clinically assessed participants collected through a tripartite data approach which uniquely integrated eye tracking data with audio and video to give a comprehensive representation of depressive symptoms. Eye tracking data quantifies the attentional bias towards negative stimuli that is frequently observed in depressed groups. Audio and video data capture the affective flattening and psychomotor retardation characteristic of depression. Statistical validation confirmed their significant discriminative power in distinguishing depressed from non depressed groups. We address a critical limitation of existing graph-based models that focus on low-frequency information and propose a Multi-Frequency Graph Convolutional Network (MF-GCN). This framework consists of a novel Multi-Frequency Filter Bank Module (MFFBM), which can leverage both low and high frequency signals. Extensive evaluation against traditional machine learning algorithms and deep learning frameworks demonstrates that MF-GCN consistently outperforms baselines. In binary classification, the model achieved a sensitivity of 0.96 and F2 score of 0.94. For the 3 class classification task, the proposed method achieved a sensitivity of 0.79 and specificity of 0.87 and siginificantly suprassed other models. To validate generalizability, the model was also evaluated on the Chinese Multimodal Depression Corpus (CMDC) dataset and achieved a sensitivity of 0.95 and F2 score of 0.96. These results confirm that our trimodal, multi frequency framework effectively captures cross modal interaction for accurate depression detection.

Depression represents a global mental health challenge requiring efficient and reliable automated detection methods. Current Transformer- or Graph Neural Networks (GNNs)-based multimodal depression detection methods face significant challenges in modeling individual differences and cross-modal temporal dependencies across diverse behavioral contexts. Therefore, we propose P$^3$HF (Personality-guided Public-Private Domain Disentangled Hypergraph-Former Network) with three key innovations: (1) personality-guided representation learning using LLMs to transform discrete individual features into contextual descriptions for personalized encoding; (2) Hypergraph-Former architecture modeling high-order cross-modal temporal relationships; (3) event-level domain disentanglement with contrastive learning for improved generalization across behavioral contexts. Experiments on MPDD-Young dataset show P$^3$HF achieves around 10\% improvement on accuracy and weighted F1 for binary and ternary depression classification task over existing methods. Extensive ablation studies validate the independent contribution of each architectural component, confirming that personality-guided representation learning and high-order hypergraph reasoning are both essential for generating robust, individual-aware depression-related representations. The code is released at https://github.com/hacilab/P3HF.

Accurate and interpretable predictions of depression severity are essential for clinical decision support, yet existing models often lack uncertainty estimates and temporal modeling. We propose PTTSD, a Probabilistic Textual Time Series Depression Detection framework that predicts PHQ-8 scores from utterance-level clinical interviews while modeling uncertainty over time. PTTSD includes sequence-to-sequence and sequence-to-one variants, both combining bidirectional LSTMs, self-attention, and residual connections with Gaussian or Student-t output heads trained via negative log-likelihood. Evaluated on E-DAIC and DAIC-WOZ, PTTSD achieves state-of-the-art performance among text-only systems (e.g., MAE = 3.85 on E-DAIC, 3.55 on DAIC) and produces well-calibrated prediction intervals. Ablations confirm the value of attention and probabilistic modeling, while comparisons with MentalBERT establish generality. A three-part calibration analysis and qualitative case studies further highlight the interpretability and clinical relevance of uncertainty-aware forecasting.

Multimodal deep learning has shown promise in depression detection by integrating text, audio, and video signals. Recent work leverages sentiment analysis to enhance emotional understanding, yet suffers from high computational cost, domain mismatch, and static knowledge limitations. To address these issues, we propose a novel Retrieval-Augmented Generation (RAG) framework. Given a depression-related text, our method retrieves semantically relevant emotional content from a sentiment dataset and uses a Large Language Model (LLM) to generate an Emotion Prompt as an auxiliary modality. This prompt enriches emotional representation and improves interpretability. Experiments on the AVEC 2019 dataset show our approach achieves state-of-the-art performance with CCC of 0.593 and MAE of 3.95, surpassing previous transfer learning and multi-task learning baselines.

The recent coronavirus disease (Covid-19) has become a pandemic and has affected the entire globe. During the pandemic, we have observed a spike in cases related to mental health, such as anxiety, stress, and depression. Depression significantly influences most diseases worldwide, making it difficult to detect mental health conditions in people due to unawareness and unwillingness to consult a doctor. However, nowadays, people extensively use online social media platforms to express their emotions and thoughts. Hence, social media platforms are now becoming a large data source that can be utilized for detecting depression and mental illness. However, existing approaches often overlook data sparsity in tweets and the multimodal aspects of social media. In this paper, we propose a novel multimodal framework that combines textual, user-specific, and image analysis to detect depression among social media users. To provide enough context about the user's emotional state, we propose (i) an extrinsic feature by harnessing the URLs present in tweets and (ii) extracting textual content present in images posted in tweets. We also extract five sets of features belonging to different modalities to describe a user. Additionally, we introduce a Deep Learning model, the Visual Neural Network (VNN), to generate embeddings of user-posted images, which are used to create the visual feature vector for prediction. We contribute a curated Covid-19 dataset of depressed and non-depressed users for research purposes and demonstrate the effectiveness of our model in detecting depression during the Covid-19 outbreak. Our model outperforms existing state-of-the-art methods over a benchmark dataset by 2%-8% and produces promising results on the Covid-19 dataset. Our analysis highlights the impact of each modality and provides valuable insights into users' mental and emotional states.

Social media user-generated content (UGC) provides real-time, self-reported indicators of mental health conditions such as depression, offering a valuable source for predictive analytics. While prior studies integrate medical knowledge to improve prediction accuracy, they overlook the opportunity to simultaneously expand such knowledge through predictive processes. We develop a Closed-Loop Large Language Model (LLM)-Knowledge Graph framework that integrates prediction and knowledge expansion in an iterative learning cycle. In the knowledge-aware depression detection phase, the LLM jointly performs depression detection and entity extraction, while the knowledge graph represents and weights these entities to refine prediction performance. In the knowledge refinement and expansion phase, new entities, relationships, and entity types extracted by the LLM are incorporated into the knowledge graph under expert supervision, enabling continual knowledge evolution. Using large-scale UGC, the framework enhances both predictive accuracy and medical understanding. Expert evaluations confirmed the discovery of clinically meaningful symptoms, comorbidities, and social triggers complementary to existing literature. We conceptualize and operationalize prediction-through-learning and learning-through-prediction as mutually reinforcing processes, advancing both methodological and theoretical understanding in predictive analytics. The framework demonstrates the co-evolution of computational models and domain knowledge, offering a foundation for adaptive, data-driven knowledge systems applicable to other dynamic risk monitoring contexts.

Depression and post traumatic stress disorder (PTSD) often co-occur with connected symptoms, complicating automated assessment, which is often binary and disorder specific. Clinically useful diagnosis needs severity aware cross disorder estimates and decision support explanations. Our unified tri modal affective severity framework synchronizes and fuses interview text with sentence level transformer embeddings, audio with log Mel statistics with deltas, and facial signals with action units, gaze, head and pose descriptors to output graded severities for diagnosing both depression (PHQ-8; 5 classes) and PTSD (3 classes). Standardized features are fused via a calibrated late fusion classifier, yielding per disorder probabilities and feature-level attributions. This severity aware tri-modal affective fusion approach is demoed on multi disorder concurrent depression and PTSD assessment. Stratified cross validation on DAIC derived corpora outperforms unimodal/ablation baselines. The fused model matches the strongest unimodal baseline on accuracy and weighted F1, while improving decision curve utility and robustness under noisy or missing modalities. For PTSD specifically, fusion reduces regression error and improves class concordance. Errors cluster between adjacent severities; extreme classes are identified reliably. Ablations show text contributes most to depression severity, audio and facial cues are critical for PTSD, whereas attributions align with linguistic and behavioral markers. Our approach offers reproducible evaluation and clinician in the loop support for affective clinical decision making.

Depression is a widespread mental health disorder, yet its automatic detection remains challenging. Prior work has explored unimodal and multimodal approaches, with multimodal systems showing promise by leveraging complementary signals. However, existing studies are limited in scope, lack systematic comparisons of features, and suffer from inconsistent evaluation protocols. We address these gaps by systematically exploring feature representations and modelling strategies across EEG, together with speech and text. We evaluate handcrafted features versus pre-trained embeddings, assess the effectiveness of different neural encoders, compare unimodal, bimodal, and trimodal configurations, and analyse fusion strategies with attention to the role of EEG. Consistent subject-independent splits are applied to ensure robust, reproducible benchmarking. Our results show that (i) the combination of EEG, speech and text modalities enhances multimodal detection, (ii) pretrained embeddings outperform handcrafted features, and (iii) carefully designed trimodal models achieve state-of-the-art performance. Our work lays the groundwork for future research in multimodal depression detection.