Evidence map›Paper›PMID 42665342›Full record

ArticleBMJ open2026

Speech-based relapse prediction in psychosis using explainable AI: Protocol for the international multicentre observational TRUSTING study.

Roya Melanie Hüppi, Lucía Bautista, Giacomo Cecere, Wolfgang Omlor, Sandra Anna Just, Sanne Koops, Musarrat Hussain, Enrico Tedeschi, Stephan Benke-Bruderer, Emre Bora and 12 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07397975 (A Prospective Multicenter Study for Relapse Risk Assessment Through Language Analysis in Individuals With Psychosis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07397975 recruitingnot on this map

A Prospective Multicenter Study for Relapse Risk Assessment Through Language Analysis in Individuals With Psychosis

TypeobservationalSponsorPhilipp HomanRan2026 to 2029Enrolled360ConditionsPsychotic DisorderArmsWeekly online speech assessments via a smartphone app collect speech and self-report data. Recordings are securely transferred and analyzed by an AI-based backend to calculate relapse risk scores.
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Roya Melanie HüppiDepartment of Adult Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0009-0000-3445-8480
Lucía BautistaDepartment of Adult Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Zurich, Switzerland.
Giacomo CecereDepartment of Adult Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Zurich, Switzerland.
Wolfgang OmlorDepartment of Adult Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Zurich, Switzerland.
Sandra Anna JustDepartment of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.ORCID http://orcid.org/0000-0001-8833-1805
Sanne KoopsDepartment of Neuroscience, University Medical Centre Groningen, Groningen, Netherlands.
Musarrat HussainDepartment of Computer Science, UiT The Arctic University of Norway, Tromsø, Norway.
Enrico TedeschiDepartment of Computer Science, UiT The Arctic University of Norway, Tromsø, Norway.
Stephan Benke-BrudererClinical Trials Center, University Hospital Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-5645-6777
Emre BoraDepartment of Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey.
John LyneRoyal College of Surgeons in Ireland, Dublin, Ireland.
Stefan KaiserAdult Psychiatry Division, Department of Psychiatry, Geneva University Hospitals, Geneva, Switzerland.
Elodie Sprüngli-ToffelAdult Psychiatry Division, Department of Psychiatry, Geneva University Hospitals, Geneva, Switzerland.
Matthias KirschnerAdult Psychiatry Division, Department of Psychiatry, Geneva University Hospitals, Geneva, Switzerland.
Karl Øyvind MikalsenDepartment of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.ORCID http://orcid.org/0000-0003-4672-7865
Lars Ailo BongoDepartment of Computer Science, UiT The Arctic University of Norway, Tromsø, Norway.
Erik Van der EyckenGlobal Alliance of Mental Illness Advocacy Networks-Europe (GAMIAN-Europe), Brussels, Belgium.
Filip ŠpanielNational Institute of Mental Health, Klecany, Czech Republic.
Brita ElvevågDepartment of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Iris Ec SommerDepartment of Neuroscience, University Medical Centre Groningen, Groningen, Netherlands.
Wolfram HinzenDepartment of Translation and Language Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
Philipp HomanDepartment of Adult Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Zurich, Switzerland philipp.homan@bli.uzh.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe course of psychotic disorders typically involves relapses. Early warning signs vary between individuals and are difficult to detect in clinical practice, especially in outpatient settings. Speech provides a quantitative clinical marker for detecting such early warning signs. The EU Horizon project TRUSTING (A TRUSTworthy speech-based AI monitoring system for the prediction of relapse in individuals with schizophrenia) aims to develop and evaluate a speech-based monitoring system for predicting imminent psychotic relapses. The study will examine the potential for prospective relapse prediction, and feasibility and usability of the monitoring system. METHODS AND ANALYSIS: In this multicentre observational study, n=240 remitted and at-risk-of-relapse adults with psychotic disorders and a comparison group with n=120 healthy participants (matched by age and sex) will be examined at six sites and in six different languages (German, French, Dutch, English, Czech and Turkish). The follow-up period is 6 months. The TRUSTING smartphone app will be used to collect weekly voice recordings through speech tasks; information on medication adherence, substance use, mood, anxiety and sleep quality; and motor data from a tapping task. Primary endpoints encompass model performance for relapse prediction, user adherence, transcription quality, usability of recordings and overall system usability. The primary analysis of user adherence, transcription quality, usability of recordings and overall system usability will be an unadjusted description of the respective proportions using 95% Wilson confidence intervals. Regarding relapse prediction, the predictive value of the risk estimates for relapse occurrence will be assessed using the area under the receiver operating characteristic curve. Exploratory analysis will be performed on potential speech-based markers associated with relapse risk. ETHICS AND DISSEMINATION: This study has been approved by swissethics (Business Administration System for Ethics Committees number: 2025-01177). Findings from this project will be disseminated through peer-reviewed journal publications and presentations at relevant scientific conferences, as well as at public events related to mental health.

trial registrationClinicalTrials.gov ID: NCT07397975.

Indexed as

Artificial IntelligencePsychotic DisordersSchizophreniaSpeechAdultFemaleHumansMaleMobile ApplicationsMulticenter Studies as TopicObservational Studies as TopicProspective StudiesRecurrenceArtificial IntelligenceMobile ApplicationsNatural Language ProcessingObservational StudySchizophrenia & psychotic disorders

Identifiers

PMID42665342
PMCPMC13536150

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.