Explainable AI for Screening Abuse-Related Trauma in Bangladeshi Children: A Training-Free Multimodal Framework Evaluated on Noise-Aware Synthetic Data
This study addresses the critical gap in Bangladesh’s child mental health landscape: the absence of localized, interpretable tools for early psychological trauma screening and severe shortages of specialized mental health resources. To tackle this, the authors propose ShishuRaksha—the first training-free, multimodal AI decision support framework designed for low-resource settings. It integrates four modalities—structured questionnaires, Bengali-language text, House-Tree-Person drawings, and facial emotion cues—employing clinically weighted fusion and cross-modal attention mechanisms to generate bilingual, interpretable reports linked directly to the national child protection system. Key innovations include single-modality coverage rules, perturbation-based additive attribution explanations, tree-ensemble surrogate modeling, and a noise-aware synthetic data benchmark. Evaluated on 500 synthetic cases, the model achieves an AUC of 0.874, significantly outperforming the Strengths and Difficulties Questionnaire (SDQ) unimodal baseline (AUC = 0.756), with ablation and calibration analyses confirming its robustness.