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Ruth is one of my very favourite single-syllable names. I'd use it happily as fn or mn. When we were about 6 or 7, a friend of mine at school whose name is Ruth had trouble with some English sounds, and introduced herself serenely as Woof; not even that puts me off! I think Ruth is classic rather than old-fashioned, and still very usable. I know a Ruth Mary and her sister, Anna Elizabeth; they are both in their 40s but could, I think, be any age at all.

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Ruth Cecily
Ruth Felicity (the meanings are a bit much, but mns are seldom used so it'd be OK)
Harriet Betsy Ruth
Ruth Joanna Mary
Ruth Penelope Jean
Ruth Philippa Esme