Predicting psychotic relapse using speech analysis

Predicting Psychotic Relapse Using Speech-Based Early Detection

Observational Douglas Mental Health University Institute · NCT06978894

This study is testing a new way to predict when people with early psychosis might have a relapse by analyzing their speech patterns to see if it can help them get support sooner.

Quick facts

Study typeObservational
Enrollment250 (estimated)
Ages16 Years and up
SexAll
SponsorDouglas Mental Health University Institute Academic / other
Locations3 sites (London, Ontario and 2 other locations)
Trial IDNCT06978894 on ClinicalTrials.gov

What this trial studies

This observational study aims to develop and validate a digital model that predicts relapses in individuals with early psychosis by analyzing their speech patterns. Utilizing natural language processing tools, the study will assess changes in speech coherence, connectedness, and complexity to identify imminent relapses up to four weeks in advance. Conducted across Early Psychosis Intervention clinics in Ontario and Quebec, the research will also explore the model's effectiveness across different languages and genders. A total of 250 first-episode psychosis patients will be recruited for this longitudinal study.

Who should consider this trial

Good fit: Ideal candidates for this study are individuals aged 16 and older who have a diagnosis of psychotic disorders and are currently receiving treatment through an Early Psychosis Intervention program.

Not a fit: Patients with severe comorbid speech or language disorders or those with primary diagnoses of non-psychotic disorders may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide a novel method for early detection of psychotic relapses, potentially improving patient outcomes and reducing the severity of episodes.

How similar studies have performed: While the approach of using speech analysis for relapse prediction is innovative, similar studies have shown promise in identifying early signs of psychotic episodes through language abnormalities.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age must be 16 years and older
* Diagnosis must meet DSM-5 criteria for psychotic disorders, including schizophrenia, schizoaffective disorder, or related conditions
* Fluency in English or French
* Must be currently receiving treatment through an EPI program

Exclusion Criteria:

* Severe comorbid speech or language disorders (e.g., aphasia)
* Primary diagnosis of non-psychotic disorders
* Inability to provide consent or complete assessments

Where this trial is running

London, Ontario and 2 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Psychosispsychosisnatural language processingrelapsespeechrelapse prediction
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.