Emergency contraceptives (ECs) are an important option for young women in Jamaica, where rates of unplanned pregnancy are high. Few previous studies of EC exist in Jamaica. We surveyed a random sample of 205 students living on campus at the University of the West Indies in Kingston, Jamaica, to learn more about students' knowledge and opinions of EC pills (ECPs). General awareness of ECPs was high (84%), although many students were unaware of specific details regarding the method's appropriate use, such as the time frame. Twenty students (10%) had used ECPs themselves or had a partner who had used them. Most had used ECPs for the first time because they lacked contraception or because of contraceptive failure. Following their first use of ECPs, 55% adopted an ongoing method of contraception. Most students felt ECPs were an important option for women in Jamaica; however, some feared ECPs might be overused. Future educational campaigns should provide Jamaican university students with detailed information about this method.