# Explainable AI for Screening Abuse-Related Trauma in Bangladeshi Children: A Training-Free Multimodal Framework Evaluated on Noise-Aware Synthetic Data

arXiv: https://arxiv.org/abs/2607.04010 · HTML: https://mlsanity.com/paper/2607.04010/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 5 of its 24 references that are in the map.
- First posted on arXiv 4 Jul 2026.

## Builds on (most cited first, 5 of 5)

- [A Unified Approach to Interpreting Model Predictions](https://mlsanity.com/paper/1705.07874/) (2017)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- ["Why Should I Trust You?": Explaining the Predictions of Any Classifier](https://mlsanity.com/paper/1602.04938/) (2016)
- [What Clinicians Want: Contextualizing Explainable Machine Learning for Clinical End Use](https://mlsanity.com/paper/1905.05134/) (2019)
- [BanglaBERT: Language Model Pretraining and Benchmarks for Low-Resource Language Understanding Evaluation in Bangla](https://mlsanity.com/paper/2101.00204/) (2021)

## Abstract (arXiv)

Bangladesh has an estimated 1.17 mental-health professionals per 100,000 population and only six child psychiatrists nationwide. No Bengali-language, culturally adapted tool exists for early screening of abuse-related psychological trauma in children. We present ShishuRaksha AI, a decision-support (not diagnostic) framework that fuses four screening modalities: validated questionnaires (SDQ, CPSS), Bengali narrative text, House-Tree-Person (HTP) drawing features, and facial affect. The fusion is training-free and clinically weighted, uses cross-modal attention, and includes a single-modality override rule. Every risk score is explained through clinically weighted, perturbation-based additive attribution and rendered as a bilingual (Bangla/English) report with referral routing to national child-protection services (OCC, DSS, NMHH) under the Children Act 2013. No clinical dataset of abused children can be collected ethically at this stage, so we introduce a noise-aware synthetic benchmark (500 cases, 116 positive [23.2%], four deliberate noise layers, literature-grounded HTP priors) and evaluate tree-ensemble surrogates of the fusion design (facial channel excluded) under 5-fold stratified cross-validation. The fused model reaches an AUC of 0.874 [0.834-0.908], against 0.756 [0.705-0.803] for an SDQ-only baseline, with ablation, operating-point, subgroup, and calibration analyses. We state all limitations openly, including synthetic-only data, no held-out set, text-feature circularity, and an urban-rural subgroup gap. This work is a feasibility study and a design contribution toward ethically deployable child-protection screening in low-resource settings.