There is no symbol for NSAccessibilitySpeechAttributePunctuation. The linked documentation points to UIAccessibilitySpeechAttributePunctuation. In fact, I can't even seem to find an equivalent for accessibilityAttributedLabel on macOS. Does accessibility on macOS support this funtionality?

I'm looking for a general approach, but for the purposes of this discussion, let's say an NSTextField.

Or is there any API to get VoiceOver to play a sound?