Automated detection of adult autism from vowel acoustics using machine learning

Autism spectrum disorder (ASD) is a neurodevelopmental condition for which timely and accurate detection remains a major clinical priority. Early and reliable identification is important because it can facilitate access to assessment, diagnosis, and appropriate support; however, current diagnostic pathways still rely largely on behavioural evaluation and clinical judgement. In this context, machine-learning (ML) approaches have attracted growing interest because they can identify subtle and complex patterns in speech data that may not be easily captured through conventional methods. The current study capitalizes on this potential by developing and evaluating ML models for distinguishing autistic individuals from neurotypical individuals based on speech features. More specifically, acoustic features of vowels, including fundamental frequency (F0), first three formants (F1, F2, F3), duration, jitter, shimmer, harmonics-to-noise ratio (HNR), and intensity, were elicited from 18 autistic adults and 18 neurotypical adults through a controlled production task. Then, four supervised ML models were trained and evaluated on these features: LightGBM, Random Forest, Support Vector Machine, and XGBoost. All models demonstrated good classification performance, with the best-performing model achieving a strong discriminability of 89%. The explainability analysis identified F0 as the most influential predictor by a substantial margin, followed by intensity, F3, and F1, while duration, shimmer, HNR, jitter, and F2 contributed more modestly. These findings demonstrate that vowel acoustics contain clinically relevant information for distinguishing autistic from neurotypical adult speech and highlight the potential of interpretable, speech-based ML as a transparent and scalable aid for ASD screening and assessment.