Originally, I was thinking of hanging the bead vertical, with perhaps black teardrop beads hanging beneath the ceramic bead, capped by the bead cap. After looking at the proportions, I liked it more with the bead horizontal.
Also, the pink/red beads appear to be more of an accent this way, rather than dominating the design. I used silver wire to make the centerpiece, with a loop on each end. Black waxed cotton cord is anchored to the loop with a lark’s head knot, and I used fine silver wire to make my own coil ending, anchoring a basic silver lobster claw clasp.