Christa Pike has spent nearly three decades behind bars after being convicted of murdering 19-year-old Colleen Slemmer in Knoxville in 1995. Sentenced to death the following year, Pike is scheduled to be executed on 30 September, which would make her the first woman executed in Tennessee in 200 years.

Her legal team has pursued multiple challenges to stop the execution. Attorneys previously argued Pike has a medical condition that would make lethal injection unnecessarily painful, a concern echoed by Matt Wells, Deputy Director of Reprieve US, who warned of a high risk she could face "a prolonged and agonizing death." Senior Judge Mark Ward ultimately ruled the condition would not prevent staff from starting an IV. Separately, her lawyers filed a clemency petition with Governor Bill Lee on 2 September, asking him to commute her sentence to life without parole, describing her transformation from a traumatised teenager into an empathetic woman capable of helping others. Governor Lee has not yet responded.

Should clemency be denied, Pike's legal team has made a specific final request regarding who will be present in the death chamber. According to reports, Pike has a documented history of sexual abuse at the hands of men, leaving her terrified at the prospect of being physically restrained on the gurney by male staff during the execution. As a result, her team has asked that only female corrections personnel be present.

Pike recently spoke about her pending execution in a documentary titled Christa Pike's Last Fight to Stop Her Execution, describing the psychological toll of knowing her execution date so far in advance: "I know I said I believed a date would never be set, but now that one has been set, it's like a roulette wheel of thought and your actual brain is the ball bouncing around." She said her nerves are "shredded" and that she experiences severe nightmares while living daily with the knowledge of her approaching execution.