St. Jude, the Saint who brings hope to the despairing and is the patron of lost causes is depicted on a lead free pewter medal, holding a staff, while on the back are the words "Pray for Us". Strung on elastic together with picture jasper, white onyx or African turquouse beads,  stones of nurturing and grounding, it is a perfect gift for someone who is struggling. 

One size fits most. Made in the USA.