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Justitia Nova: Indonesian Journal of Modern Law chevron_right

Issue: Vol. 2 No. 1 (2026): June
Original article lock_open Open Access

Beyond Algorithmic Diagnosis: Legal Accountability and Islamic Ethical Governance of AI-Driven Mental Health Systems

Muhamad Ghofir Makturidi, Andrey V. Kotyazhov, Nur Hafieza Ismail, Ghousia Khatoon, Huma Khan
Pages: 76–93
Published: 2026-06-30
Section: Articles

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Abstract

The increasing adoption of artificial intelligence (AI) in mental healthcare has transformed the identification, monitoring, and management of psychological conditions through predictive analytics and behavioral data analysis, while simultaneously generating significant legal and ethical challenges related to accountability, privacy protection, transparency, and the legitimacy of algorithmic decision-making. This study aims to examine legal accountability mechanisms in AI-driven mental health systems and to integrate Islamic ethical principles as a complementary evaluative framework for strengthening governance. A normative legal research method is employed using statutory, conceptual, and comparative approaches, analyzing Indonesian health law, personal data protection law, and electronic information regulations, as well as international instruments such as the UNESCO, OECD, and WHO guidelines on AI governance. The findings indicate that existing legal frameworks in Indonesia remain fragmented and insufficient to comprehensively regulate algorithmic decision-making, explainability requirements, and liability allocation in AI-assisted mental healthcare. Accordingly, this study proposes an integrated governance framework that combines national legal instruments, trustworthy AI principles, and Maqāṣid al-Sharīʿah as normative and ethical foundations for responsible AI deployment. The novelty of this research lies in its doctrinal integration of AI legal accountability with Islamic ethical governance in the mental health context, which has been rarely addressed in previous studies. The contribution of this study is the development of a multidisciplinary governance model that strengthens legal certainty, ethical legitimacy, and patient protection in digital mental health systems. However, this study is limited by its normative doctrinal approach and the absence of empirical validation within healthcare institutions and AI implementation settings.

Keywords:

Artificial Intelligence; Legal Accountability; Data Protection; Explainable AI; Maqāṣid al-Sharīʿah

How to Cite

. (2026). Beyond Algorithmic Diagnosis: Legal Accountability and Islamic Ethical Governance of AI-Driven Mental Health Systems. Justitia Nova: Indonesian Journal of Modern Law, 2(1), 76–93.

How to Cite

Beyond Algorithmic Diagnosis: Legal Accountability and Islamic Ethical Governance of AI-Driven Mental Health Systems. (2026). Justitia Nova: Indonesian Journal of Modern Law, 2(1), 76–93. https://doi.org/10.5281/2cmbd272

References

  • Al-Shatibi, I. I. M. A. I. (1920). Al-Muwaafaqaat Fii Usuul Al-Sharii’ah. Matba’at al-Maktabah al-Tujariyah.
  • Arias, M. I., Cadavid, L., & Velásquez, J. D. (2025). Advancing healthcare analytics: A thematic review of machine learning, health informatics, and real-world data applications. Journal of Biomedical Informatics, 171, 104934. https://doi.org/10.1016/j.jbi.2025.104934
  • Auda, J. (2008). Maqasid Al-Shariah as Philosophy of Islamic Law: A Systems Approach. International Institute of Islamic Thought (IIIT).
  • Basu, B. K., Sani, M. S. A., Salehin, M., Amin, M. B., Azad, M. M., Sony, M. M. A. A. M., & Bács, Z. (2026). Ethics of AI in nursing care: A doctrinal analysis of governance and societal implications in Bangladesh. Social Sciences & Humanities Open, 13, 103008. https://doi.org/10.1016/j.ssaho.2026.103008
  • Bridge, L. A., Elsey, J., Pratley, P., & Woodward, A. (2025). Digital mental health tools: A narrative review on overcoming barriers in the age of displacement and disparities. Maturitas, 198, 108380. https://doi.org/10.1016/j.maturitas.2025.108380
  • Camilleri, M. A. (2026). Opening the black box: Operational principles, tools and frameworks that advance explainable artificial intelligence (XAI) models. Technological Forecasting and Social Change, 229, 124710. https://doi.org/10.1016/j.techfore.2026.124710
  • Cecchi, R., Calabrò, F., Camatti, J., Santunione, A. L., Sperti, M., Zizzi, E. A., & Deriu, M. A. (2026). Artificial intelligence in healthcare: Proposal for a new medico-legal methodology in medical liability. Legal Medicine, 80, 102764. https://doi.org/10.1016/j.legalmed.2025.102764
  • Chen, Z., Liu, R., Huang, S., Guo, Y., & Ren, Y. (2025). A survey of large-scale deep learning models in medicine and healthcare. CMES - Computer Modeling in Engineering and Sciences, 144(1), 37–81. https://doi.org/10.32604/cmes.2025.067809
  • Chhabra, J., Pilkington, V., Benakovic, R., Wilson, M. J., La Sala, L., & Seidler, Z. (2025). Social media and youth mental health: Scoping review of platform and policy recommendations. Journal of Medical Internet Research, 27. https://doi.org/10.2196/72061
  • Dusuki, A. W., & Abdullah, N. I. (2007). Maqasid al-Shari'ah, maslahah, and corporate social responsibility. American Journal of Islam and Society, 24(1), 25–45. https://doi.org/10.35632/ajis.v24i1.415
  • El-Khoury, M., & Albarashdi, S. (2025). Navigating the privacy landscape of healthcare-driven AI in the Middle East: Case studies from Oman, Qatar, and Saudi Arabia. Social Sciences & Humanities Open, 11, 101492. https://doi.org/10.1016/j.ssaho.2025.101492
  • Emmer De Albuquerque Green, C., Reinmund, T., Hamblin, K., & Sinha, S. K. (2026). Responsible use of artificial intelligence in the provision of long-term care for older people: A care-centric approach. The Lancet Healthy Longevity, 7(2), 100817. https://doi.org/10.1016/j.lanhl.2026.100817
  • Galatzan, B. J., Johnson, E. A., Turchioe, M. R., Baker, C., & Wieben, A. (2025). Regulating at the AI frontier: The collision of policy, regulation, and nursing practice. Technology and the Nursing Needs of Tomorrow, 16(3), 207–215. https://doi.org/10.1016/j.jnr.2025.08.012
  • Government of Indonesia. (2022). Law No. 27 of 2022 on Personal Data Protection.
  • Government of Indonesia. (2023). Law No. 17 of 2023 on Health.
  • Government of Indonesia. (2024). Law No. 1 of 2024 on the Second Amendment to Law No. 11 of 2008 on Electronic Information and Transactions.
  • Guo, Y., Foster, J., Buckley, A. R., & Zoukas, G. (2026). Assuring trustworthy AI: An integrative review of hierarchical and relational assurance approaches. International Journal of Information Management Data Insights, 6(1), 100415. https://doi.org/10.1016/j.jjimei.2026.100415
  • He, M., & Chen, Y. (2025). Personal data protection in China: Progress, challenges and prospects in the age of big data and AI. Telecommunications Policy, 49(10), 103076. https://doi.org/10.1016/j.telpol.2025.103076
  • Ibrahim, A., Gourari, F., & AlQodsi, E. (2026). Artificial intelligence between legal governance and professional ethics: A comparative study. Social Sciences & Humanities Open, 13, 102841. https://doi.org/10.1016/j.ssaho.2026.102841
  • Islam, F., Islam, A., Amin, M. A., & Zaber, M. (2026). A proposed participatory framework for explainable AI in mHealth: Mixed methods study integrating user and stakeholder requirements. Journal of Medical Internet Research, 28. https://doi.org/10.2196/87158
  • Kamali, M. H. (2008). Shari’ah Law: An Introduction. Oneworld Publications.
  • Kandeel, M. E., Abo Hamza, E. G., Abouahmed, A., AbdelAziz, G. M., Hashish, A., Abo El Wafa, T., Khalil, A., & Eldakak, A. (2026). AI applications integrating legal and regulatory perspectives in mental health: Systematic review. JMIR AI, 5. https://doi.org/10.2196/84305
  • Krakowski, S. (2025). Human-AI agency in the age of generative AI. Information and Organization, 35(1), 100560. https://doi.org/10.1016/j.infoandorg.2025.100560
  • Li, J., Qu, L., Cai, T., Zhao, Z., Al Hasan Haldar, N., Krishna, A., Kong, X., Romero Macau, F., Chakraborty, T., Deroy, A., Lin, B., Blackmore, K., Noman, N., Cheng, J., Cui, N., & Xu, J. (2025). AI-generated content in cross-domain applications: Research trends, challenges and propositions. Knowledge-Based Systems, 330, 114634. https://doi.org/10.1016/j.knosys.2025.114634
  • Miedema, E., Waschull, S., & Emmanouilidis, C. (2026). Towards trustworthy artificial intelligence for decision-making: A lifecycle perspective on knowledge- and data-driven artificial intelligence systems. Computers in Industry, 174, 104409. https://doi.org/10.1016/j.compind.2025.104409
  • Moreno-Sánchez, P. A., Del Ser, J., van Gils, M., & Hernesniemi, J. (2026). A design framework for operationalizing trustworthy artificial intelligence in healthcare: Requirements, tradeoffs and challenges for its clinical adoption. Information Fusion, 127, 103812. https://doi.org/10.1016/j.inffus.2025.103812
  • Mostafapour, M., Fortier, J., Pacheco, K., Murray, H., & Garber, G. (2026). Legal and ethical challenges in integrating AI into clinical practice: Qualitative study of physicians’ real-world experiences. JMIR AI, 5. https://doi.org/10.2196/82351
  • Mufleh, A. S. S., Waleed, A., Altuwayjiri, S., Alajmi, L. H. R., Alsaid Hassan, M. I., & Hilal, A. M. (2026). Social aspects of artificial intelligence (AI)-driven sustainability in Saudi Arabia: A systematic review with insights on labor market transformations. Social Sciences & Humanities Open, 13, 102612. https://doi.org/10.1016/j.ssaho.2026.102612
  • Muhammad, A. A., Aliyu, S. A., Ardo, A. M., Shariff, I. A., & Muhammad, Y. Z. (2025). The Role of AI in Transforming Teacher Education in Nigeria: Opportunities and Challenges. Innovative Minds, 1, 1–10. https://doi.org/https://pub.darulfunun.id/index.php/imind/article/view/105
  • Muhammad, A. A., Babangida, B., Abubakar, M. S., Shariff, I. A., & Yukubu, Z. M. (2025). Reforming the Curriculum for Value-Based Education: A Comparative Assessment of Social Studies and Islamic Studies Integration in Nigeria. Innovative Minds, 1, 27–37. https://doi.org/https://pub.darulfunun.id/index.php/imind/article/view/141
  • Mustofa, M., Ahyani, H., Irsyansyah, I., Ma’ruf, A. H., Buchori, M., Muadib, I., Supriadi, A., & Gumel, S. M. (2026). Strengthening Halal Tourism Governance in Pekalongan: A Maqasid-Based Collaborative Governance Framework within Siyasah Dusturiyah. Al-Risalah: Forum Kajian Hukum Dan Sosial Kemasyarakatan, 26(1), 38–58. https://doi.org/10.30631/alrisalah.v26i1.2046
  • OECD. (2019). OECD Principles on Artificial Intelligence. OECD Publishing.
  • Olawade, D. B., Ayoola, F. I., Ebo, T. O., Asaolu, A. J., Egbon, E., & Clement David-Olawade, A. (2025). Artificial intelligence in forensic mental health: A review of applications and implications. Journal of Forensic and Legal Medicine, 113, 102895. https://doi.org/10.1016/j.jflm.2025.102895
  • Padela, A. I. (2013). Islamic bioethics: Between sacred law, lived experiences, and state authority. Theoretical Medicine and Bioethics, 34(2), 65–80. https://doi.org/10.1007/s11017-013-9249-1
  • Putra, H. S., Murti, M. A., Novianty, A., & Ismail, N. H. (2026). Early detection of mental health on social media using a hybrid Bi-LSTM–XGBoost model: A comparative study. Scientific Reports. https://doi.org/10.1038/s41598-026-47015-6
  • Qomaro, G. W., Adiyono, A., Mahaseth, H., & Arofik, S. (2026). Preventing Child Marriage through Local Regulation in Bangkalan from a Socio-Legal and Maqāṣid al-Sharīʿah Perspective. El-Usrah: Jurnal Hukum Keluarga, 9(1), 106–124. https://doi.org/10.22373/ujhk.v9i1.33809
  • Rahman, F. (1987). Health and Medicine in the Islamic Tradition: Change and Identity. Crossroad.
  • Rahsepar Meadi, M., Sillekens, T., Metselaar, S., van Balkom, A., Bernstein, J., & Batelaan, N. (2025). Exploring the ethical challenges of conversational AI in mental health care: Scoping review. JMIR Mental Health, 12. https://doi.org/10.2196/60432
  • Raposo, V. L. (2026). The AI Gospel according to the EDPB: An overview of opinion 28/2024 on data protection aspects in AI models. Computer Law & Security Review, 61, 106300. https://doi.org/10.1016/j.clsr.2026.106300
  • Sengupta, A., & Mohandas, S. (2026). The imaginary of informed consent: Rethinking approaches to data use for AI in healthcare. Computer Law & Security Review, 61, 106309. https://doi.org/10.1016/j.clsr.2026.106309
  • Shammar, E., Cui, X., Zahary, A., Alsamhi, S. H., & Al-qaness, M. A. A. (2025). Threat to trust: A systematic review on Internet of medical things security. Journal of Parallel and Distributed Computing, 206, 105172. https://doi.org/10.1016/j.jpdc.2025.105172
  • Tamang, S. (2026). Artificial intelligence regulation in the United States: Current landscape and implications for rheumatology. Rheumatic Disease Clinics of North America. https://doi.org/10.1016/j.rdc.2026.03.006
  • Teo, S. A. (2025). Artificial intelligence, human vulnerability and multi-level resilience. Computer Law & Security Review, 57, 106134. https://doi.org/10.1016/j.clsr.2025.106134
  • UNESCO. (2021). Recommendation on the Ethics of Artificial Intelligence. United Nations Educational, Scientific and Cultural Organization.
  • Villarreal, R. I., Singhal, S., Dempsey, A. G., & Shore, J. (2026). The future of digital mental health: A literature review. Advances in Mental Health Technology, 49(2), 377–391. https://doi.org/10.1016/j.psc.2025.08.026
  • Volpato, R., DeBruine, L., & Stumpf, S. (2025). Trusting emotional support from generative artificial intelligence: A conceptual review. Computers in Human Behavior: Artificial Humans, 5, 100195. https://doi.org/10.1016/j.chbah.2025.100195
  • World Health Organization. (2021). Ethics and Governance of Artificial Intelligence for Health. World Health Organization.
  • Yang, A., Pan, M.-L., Lu, H. H.-S., Lien, C.-Y., Wang, D.-W., Chen, C.-H., Tarng, D.-C., Niu, D.-M., Chiou, S.-H., Wu, C.-Y., Sun, Y.-C., Chen, S.-A., Wang, S.-J., Sheu, W. H.-H., & Lin, C.-H. (2026). Assessing the evolution and influence of medical open databases on biomedical research and health care innovation: A 25-year perspective with a focus on privacy and privacy-enhancing technologies. Journal of Medical Internet Research, 28. https://doi.org/10.2196/58954