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paperarXivTrust 82 · PrimaryPublished 10d agoLive · 9d ago

Evidence-Bounded Mental Health Reasoning from Heterogeneous Speech Protocols

Computational mental health screening using multimodal speech and text has shown great promise. However, existing models often assume all clinical speech protocols carry equivalent evidentiary validity. In reality, heterogeneous protocols, from free interviews to fixed reading tasks, support fundamentally different evidence. Forcing uniform reasoning flattens these boundaries, causing models to hallucinate symptoms from irrelevant text or overclaim support. Even advanced long chain-of-thought LLMs fail to resolve this issue, as free-form reasoning can exacerbate boundary violations. To address

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