1 in 5 US adults experience mental illness each year, and less than half of them receive treatment. To Write Love on Her Arms, twloha.com, is a non-profit movement dedicated to presenting hope and finding help for people struggling with depression, addiction, self-injury, and suicide. TWLOHA exists to encourage, inform, inspire, and also to invest directly into treatment and recovery. For each Suicide Prevention Awareness bracelet sold, Essential Jewels will donate 10% of the purchase price to TWLOHA. Bracelet is made with 8mm AAA grade natural Dream Lace Amethyst and Turquoise stones. Ribbon charm is 20mm x 10mm, silver plated metal alloy Our bracelets are made with heavy duty 1mm elastic crystal string to ensure quality and strength. This bracelet comes in a gift box with the gift card shown in picture Available in several sizes, to determine your size, measure your wrist with a fabric tape measure If you want a size that is not listed, please reach out to me, I will gladly make whatever size you request.