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.
Competing Interest StatementThe authors have declared no competing interest.
Funding StatementThis study forms part of the research project CULTURE/AWARD-YR/0523, awarded to the first author, Georgios P. Georgiou, by the Cyprus Research and Innovation Foundation.
Author DeclarationsI confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.
Yes
The details of the IRB/oversight body that provided approval or exemption for the research described are given below:
The study was approved by the Cyprus National Bioethics Committee (approval no. EEBK EΠ 2024.01.57).
I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.
Yes
I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).
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I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.
Yes
Data AvailabilityData are available on request from the first author.
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