A CNN-Transformer Fusion Model for Proactive Detection of Schizophrenia Relapse from EEG Signals.

Abstract

Proactively detecting schizophrenia relapse remains a critical challenge in psychiatric care, where traditional predictive models often fail to capture the complex neurophysiological and behavioral dynamics preceding recurrence. Existing methods typically rely on shallow architectures or unimodal data sources, resulting in limited sensitivity-particularly in the early stages of relapse. In this study, we propose a CNN-Transformer fusion model that leverages the complementary strengths of Convolutional Neural Networks (CNNs) and Transformer-based architectures to process electroencephalogram (EEG) signals enriched with clinical and sentiment-derived features. This hybrid framework enables joint spatial-temporal modeling of relapse indicators, allowing for a more nuanced and patient-specific analysis. Unlike previous approaches, our model incorporates a multi-resource data fusion pipeline, improving robustness, interpretability, and clinical relevance. Experimental evaluations demonstrate a superior prediction accuracy of 97%, with notable improvements in recall and F1-score compared to leading baselines. Moreover, the model significantly reduces false negatives, a crucial factor for timely therapeutic intervention. By addressing the limitations of unimodal and superficial prediction strategies, this framework lays the groundwork for scalable, real-world applications in continuous mental health monitoring and personalized relapse prevention.