arXiv Computation and Language By Chengyuan Gao, Jiang Wu, Tao Lu, Jiayan Guo, Mingkun Xu, Tianyi Zang, Shangyang Li

Evidence-Bounded Mental Health Reasoning from Heterogeneous Speech Protocols

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The paper introduces Evidence-Bounded Mental Health Reasoning, addressing the problem that current multimodal mental health screening models treat all clinical speech protocols as equally evidential. It presents the Evidence Package Benchmark, comprising 1,870 annotated packages from six diverse protocols, and proposes EviBound, a protocol-aware framework that limits reasoning to valid evidence using a planner, acoustic consensus, and a boundary critic. EviBound outperforms existing omni-modal baselines, achieving a Depression AUROC of 0.8658 with no claim violations.

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