I finally managed to get the output I wanted with the following setup:

\definedescription
  [DHint]
  [alternative=hanging,
   width=\textwidth,    
   margin=4em,   
   headcommand=\DHintHead]

\define[1]\DHintHead{#1\blank[15pt]}

\starttext
\startDHint{Head title}
\input ward
\stopDHint
\stoptext

With this, I can control both the indentation and the vertical spacing between 
the head and the body in a simple way.

It works nicely for my current document, but I’m wondering if this is 
considered a good approach or if there’s a more "ConTeXt-ish" way to achieve 
the same effect?

Any suggestions for improvement are welcome!
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